NPIMap

Organization Active NPI

American Dental Care,LLC

  • Dentist
  • Upper Darby, PA
National Provider Identifier
1346617263
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-020804-L Issued in PA
Legal business name
AMERICAN DENTAL CARE,LLC
Practice address
6784 Market St
Upper Darby, PA 19082-2431
Phone
(484) 462-0171
Fax
(215) 646-1005
NPI assigned
Aug 26, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Prafulchandra G Patel, DDS
Title
Member
Phone
(267) 221-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS-020804-L PA Primary

Addresses

Primary practice location

6784 Market St
Upper Darby, PA 19082-2431

Mailing address

109 Executive Dr
Ambler, PA 19002-2413
Phone (267) 221-6070

National Provider Directory

National Provider Directory
Tax ID family
American Dental Care LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6784 Market St
Upper Darby, PA 19082
Phone (484) 462-0171

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1346617263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EXECUTIVE DR",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022413",
            "telephone_number": "267-221-6070",
            "fax_number": "215-646-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822431",
            "telephone_number": "484-462-0171",
            "fax_number": "215-646-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFULCHANDRA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "267-221-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-020804-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.