NPIMap

Organization Active NPI

Ariel Dental LLC

  • General Practice Dentistry
  • Lake Ariel, PA
National Provider Identifier
1669502159
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARIEL DENTAL LLC
Practice address
358 Hamlin Hwy, Ste 2
Lake Ariel, PA 18436
Phone
(570) 689-2449
Fax
(866) 658-1522
NPI assigned
Mar 6, 2007
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Mr. Bijan Reza Ahmadzadeh, D.M.DNPI 1063726255
Title
Owner
Phone
(570) 689-2449

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

358 Hamlin Hwy, Ste 2
Lake Ariel, PA 18436

Mailing address

358 Hamlin Hwy, Ste 2
Lake Ariel, PA 18436
Phone (570) 689-2449

Other names 1

  • Scrimalli Ratchford LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

358 Hamlin Hwy
#2
Lake Ariel, PA 18436
Phone (570) 689-2449

Practitioners & affiliated clinicians

Practitioners 4

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1669502159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 HAMLIN HWY, STE 2",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-689-2449",
            "fax_number": "866-658-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 HAMLIN HWY, STE 2",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "18436",
            "telephone_number": "570-689-2449",
            "fax_number": "866-658-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-02-09",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "AHMADZADEH",
        "authorized_official_first_name": "BIJAN",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-689-2449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scrimalli Ratchford LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Ariel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.