NPIMap

Organization Active NPI

Amdent LTD.

Doing business as American Dental Solutions

  • Dentist
  • Wyomissing, PA
National Provider Identifier
1386673432
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AMDENT LTD.
Doing business as
American Dental Solutions
Practice address
1425 Penn Ave
Wyomissing, PA 19610-2133
Phone
(610) 372-6693
Fax
(610) 372-4178
NPI assigned
Jul 1, 2006
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Mrs. Shannon Peters
Title
Operations Manager
Phone
(610) 372-6693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1425 Penn Ave
Wyomissing, PA 19610-2133

Mailing address

1301 Penn Ave
Wyomissing, PA 19610-2140
Phone (610) 372-6313

Other names 1

  • American Dental Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191111001253 PA Part B Supplier - Clinic/Group Practice 1951733021 Receives reassigned benefits from 3 practitioners
11 other NPIs on this enrollment
Practice locations: Pottstown, PA; Wyomissing, PA; Temple, PA; Sinking Spring, PA; Reading, PA; Phoenixville, PA; Lititz, PA; Lancaster, PA…

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Amdent LTD17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 3

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": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1386673432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102140",
            "telephone_number": "610-372-6313",
            "fax_number": "610-372-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102133",
            "telephone_number": "610-372-6693",
            "fax_number": "610-372-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDENT LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "610-372-6693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.