Organization Active NPI

American Dental Care LLC

  • Dentist
  • Hershey, PA
National Provider Identifier
1356465207
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020804-L Issued in PA
Legal business name
AMERICAN DENTAL CARE LLC
Practice address
10 W Chocolate Ave
St. 109
Hershey, PA 17033-1472
Phone
(717) 534-1135
NPI assigned
Mar 18, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Prafulchandra Patel, DDS
Title
President
Phone
(215) 646-1397

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

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

Corporate family (same tax ID) 10

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

Locations

10 W Chocolate Ave
Ste 109
Hershey, PA 17033
Phone (717) 534-1135

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS020804-L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

10 W Chocolate Ave
St. 109
Hershey, PA 17033-1472

Mailing address

109 Executive Dr
Ambler, PA 19002-2413

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356465207",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W CHOCOLATE AVE",
            "address_2": "ST. 109",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331472",
            "telephone_number": "717-534-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAFULCHANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-646-1397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020804-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.