Active NPI
Dana Marie Digerolamo, D.M.D.
- Pediatric Dentistry
- King of Prussia, PA
National Provider Identifier
1295980894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS037700
- Practice address
- 357 S Gulph Rd
King of Prussia, PA 19406 - Phone
- (917) 599-6406
- Fax
- (610) 487-0037
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | LL610 | MD | |
| Pediatric Dentistry | 1223P0221X | 22DI02533300 | NJ | |
| Pediatric Dentistry | 1223P0221X | DS037700 | PA | Primary |
Addresses
Primary practice location
357 S Gulph Rd
King of Prussia, PA 19406
Mailing address
357 S Gulph Rd
King of Prussia, PA 19406-3136
Phone (917) 599-6406
Other practice location 1
240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380
Other practice location 2
357 S Gulph Rd
King Of Prussia, PA 19406
Phone (917) 599-6406
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102851990 | Medicaid | PA | |
| 119591300 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL610 | MD | MD | Dentist |
| 22DI02533300 | NJ | MD | Pediatric Dentist |
| DS037700 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1295980894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 S GULPH RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063136",
"telephone_number": "917-599-6406",
"fax_number": "610-487-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 S GULPH RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "19406",
"telephone_number": "917-599-6406",
"fax_number": "610-487-0037"
}
],
"practiceLocations": [
{
"address_1": "240 Geiger Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151008",
"country_code": "US",
"telephone_number": "215-677-0380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "357 S Gulph Rd",
"address_purpose": "LOCATION",
"city": "King Of Prussia",
"state": "PA",
"postal_code": "19406",
"country_code": "US",
"telephone_number": "917-599-6406",
"fax_number": "610-487-0037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIGEROLAMO",
"first_name": "DANA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "LL610",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02533300",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS037700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102851990",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119591300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.