NPIMap

Organization Active NPI

Elverson Dental Care, LLC

  • General Practice Dentistry
  • Elverson, PA
National Provider Identifier
1346360765
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026093L Issued in PA
Legal business name
ELVERSON DENTAL CARE, LLC
Practice address
4101 W. Main Street
Elverson, PA 19520
Phone
(610) 286-5841
Fax
(610) 286-0161
NPI assigned
Mar 30, 2007
Last updated
Mar 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Authorized official

Name
James W Wolitarsky Jr., D.D.S.NPI 1326111006
Title
Owner
Phone
(610) 286-5841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS026093L PA Primary

Addresses

Primary practice location

4101 W. Main Street
Elverson, PA 19520

Mailing address

4101 W. Main Street
Elverson, PA 19520
Phone (610) 286-5841

Other names 1

  • Scott Wallace DDS, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

4101 Main St
Elverson, PA 19520
Phone (610) 286-5841

Practitioners & affiliated clinicians

Practitioners 4

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1346360765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W. MAIN STREET",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "19520",
            "telephone_number": "610-286-5841",
            "fax_number": "610-286-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W. MAIN STREET",
            "city": "ELVERSON",
            "state": "PA",
            "postal_code": "19520",
            "telephone_number": "610-286-5841",
            "fax_number": "610-286-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELVERSON DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "WOLITARSKY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-286-5841",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026093L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Wallace DDS, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elverson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.