American Dental Group P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DS036851 Issued in PA

Legal business name

AMERICAN DENTAL GROUP P.C.

Doing business as

Suburban Dental Associates

Practice address

1621 N Cedar Crest Blvd Ste 117
Allentown, PA 18104-2312

Phone

(610) 820-9900

NPI assigned

Nov 1, 2011

Organization subpart

Yes

Parent organization

AMERICAN DENTAL GROUP P.C.As reported in NPPES

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

Authorized official

Name

Mr. Mahendra Kakadia

Title

General Manager

Phone

(646) 725-3939

Specialties & licenses 1

Addresses

Other names 1

• Suburban Dental Associates Doing business as

Part of

American Dental Group PC

Locations

Practitioners 2

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

• Mark B Diamond, DMD

  • Dentist
  • Allentown, PA
  • NPI 1932380656
  NPD (past)
• Jerome P Kaplan, DDS

  • Dentist
  • Allentown, PA
  • NPI 1669653382
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1538445887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N CEDAR CREST BLVD STE 117",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042312",
            "telephone_number": "610-820-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 N CEDAR CREST BLVD STE 117",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181042312",
            "telephone_number": "610-820-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL GROUP P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN DENTAL GROUP P.C.",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "KAKADIA",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "646-725-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amedisys Pennsylvania, L.L.C (Amedisys Home Health of Allentown)
• Ameri Home Care LLC
• American Behavioral Counseling
• American Care Network Clinic
• American Current Care P.a. (Concentra Urgent Care)
• American Dental Specialties PC
• American Family Dental Care P.C.
• American Homecare Supply Co (American Home Medical Equipment & Services)
• Americure RX Pennsylvania LLC (Americure Rx Penssylvania)
• Americus Pharmacy Inc. (Americus Pharmacy)

• Dentist in Allentown, PA
• Providers in Allentown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.