NPIMap

Organization Active NPI

Fairmont Dental Associates PC

  • Dentist
  • Allentown, PA
National Provider Identifier
1356531545
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020234A Issued in PA
Legal business name
FAIRMONT DENTAL ASSOCIATES PC
Practice address
1414 W Fairmont St
Allentown, PA 18102-1021
Phone
(610) 435-1288
Fax
(610) 435-5451
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Jay N Kalola, DMDNPI 1356382089
Title
Owner
Phone
(610) 435-1288

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS020234A PA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS012453L PA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS016583L PA
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS037274 PA

Addresses

Primary practice location

1414 W Fairmont St
Allentown, PA 18102-1021

Mailing address

1414 W Fairmont St
Allentown, PA 18102-1021
Phone (610) 435-1288

National Provider Directory

National Provider Directory

Locations

1414 W Fairmont St
Allentown, PA 18102
Phone (610) 435-1288

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1356531545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181021021",
            "telephone_number": "610-435-1288",
            "fax_number": "610-435-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIRMONT ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181021021",
            "telephone_number": "610-435-1288",
            "fax_number": "610-435-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRMONT DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "KALOLA",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-435-1288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020234A",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS012453L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS016583L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.