NPIMap

Organization Active NPI

Ameri Dental Group P.C.

  • Dentist
  • Lansdowne, PA
National Provider Identifier
1659636116
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036851 Issued in PA
Legal business name
AMERI DENTAL GROUP P.C.
Practice address
43 South Lansdowne Avenue
Lansdowne, PA 19050
Phone
(610) 623-7610
Fax
(610) 623-0023
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Authorized official

Name
Donna Jozwiak
Title
Office Manager
Phone
(610) 623-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS036851 PA Primary

Addresses

Primary practice location

43 South Lansdowne Avenue
Lansdowne, PA 19050

Mailing address

43 South Lansdowne Avenue
Lansdowne, PA 19050
Phone (610) 623-7610

National Provider Directory

National Provider Directory
Tax ID family
Ameri Dental Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

43 S Lansdowne Ave
Lansdowne, PA 19050
Phone (610) 623-7610

Practitioners & affiliated clinicians

Practitioners 2

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": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1659636116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SOUTH LANSDOWNE AVENUE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "19050",
            "telephone_number": "610-623-7610",
            "fax_number": "610-623-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SOUTH LANSDOWNE AVENUE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "19050",
            "telephone_number": "610-623-7610",
            "fax_number": "610-623-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERI DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "JOZWIAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-623-7610"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.