Individual provider Active NPI

Anne M. Adam, D.M.D.

  • General Practice Dentistry
  • Sarver, PA
National Provider Identifier
1740366624
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS021262L Issued in PA
Practice address
102 North Pike Rd.
Sarver, PA 16055-9254
Phone
(724) 353-1521
Fax
(724) 295-3749
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS021262L PA Primary

Addresses

Primary practice location

102 North Pike Rd.
Sarver, PA 16055-9254

Mailing address

PO Box J
102 North Pike Rd.
Sarver, PA 16055-9254
Phone (724) 353-1521

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
I20160812001498 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901190917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS021262LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Associates Professional Corporation General Practice 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740366624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX J",
            "address_2": "102 NORTH PIKE RD.",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559254",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTH PIKE RD.",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559254",
            "telephone_number": "724-353-1521",
            "fax_number": "724-295-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAM",
        "first_name": "ANNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021262L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

Verify at the official NPI Registry.