Individual provider Active NPI

Ana Golalic, DMD

  • Dentist
  • Camp Hill, PA
National Provider Identifier
1447666433
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS 040098 Issued in PA
Practice address
3920 Market St Ste 100
Camp Hill, PA 17011-4202
Phone
(717) 737-4337
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 040098 PA Primary

Addresses

Primary practice location

3920 Market St Ste 100
Camp Hill, PA 17011-4202

Mailing address

3920 Market St Ste 100
Camp Hill, PA 17011-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603000890 PA Order and Referring Only - DentistPractitioner - Dentist 0648591685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 040098PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Verber Dental Group, PC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1447666433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MARKET ST STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MARKET ST STE 100",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114202",
            "telephone_number": "717-737-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLALIC",
        "first_name": "ANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 040098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.