Organization Active NPI

Chalfont Dental Care PC

  • Dentist
  • Chalfont, PA
National Provider Identifier
1326164963
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS030518L Issued in PA
Legal business name
CHALFONT DENTAL CARE PC
Practice address
8 Meadowbrook LN
Chalfont, PA 18914-2811
Phone
(215) 822-6234
Fax
(215) 822-6373
NPI assigned
Mar 22, 2007
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michele Krzaczyk
Title
Office Manager
Phone
(215) 822-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS030518L PA Primary

Addresses

Primary practice location

8 Meadowbrook LN
Chalfont, PA 18914-2811

Mailing address

8 Meadowbrook LN
Chalfont, PA 18914-2811
Phone (215) 822-6234

Other identifiers 1

IdentifierTypeStateIssuer
006577OtherPAUNITED CONCORDIA

Other names 1

  • Varvara Clark DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

8 Meadowbrook Ln
Chalfont, PA 18914
Phone (215) 822-6234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1326164963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOWBROOK LN",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142811",
            "telephone_number": "215-822-6234",
            "fax_number": "215-822-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEADOWBROOK LN",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189142811",
            "telephone_number": "215-822-6234",
            "fax_number": "215-822-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALFONT DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "KRZACZYK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-822-6234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030518L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "006577",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varvara Clark DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.