Anagha Sadashiv Pathak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS-028296-L Issued in PA

Practice address

584 Springville Rd
New Holland, PA 17557-9564

Phone

(717) 354-4711

Fax

(717) 354-8830

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356390090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 FERNHILL RD",
            "address_2": "# 101",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804279",
            "telephone_number": "610-429-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 SPRINGVILLE RD",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579564",
            "telephone_number": "717-354-4711",
            "fax_number": "717-354-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "ANAGHA",
        "middle_name": "SADASHIV",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-028296-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015156130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in New Holland, PA
• Providers in New Holland, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.