Individual provider Active NPI

Anthony Machani, DMD

  • Pediatric Dentistry
  • York, PA
National Provider Identifier
1740639012
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
39931 Issued in TX
Practice address
2820 Whiteford Rd Ste 1
York, PA 17402-7625
Phone
(612) 703-5292
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 39931 TX Primary
Pediatric Dentistry 1223P0221X 03461920 PA

Addresses

Primary practice location

2820 Whiteford Rd Ste 1
York, PA 17402-7625

Mailing address

Children'S Dental Ranch of New Braunfels
1187 W County Line Rd Ste 118
Austin, TX 78130
Phone (830) 302-4552

Other practice location 1

2010 S Juniper St
Philadelphia, PA 19148-5509
Phone (612) 703-5292

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
I20170706002040 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901175967

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03461920PAMDPediatric Dentist
39931TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amani Pediatric Dentistry PLLC General Practice CurrentSince Jan 5, 2025 Accepting new patients

Locations

2875 W Whitestone Blvd
Ste 120
Cedar Park, TX 78613
Phone (737) 363-4200

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740639012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDREN'S DENTAL RANCH OF NEW BRAUNFELS",
            "address_2": "1187 W COUNTY LINE RD STE 118",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-302-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 WHITEFORD RD STE 1",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027625",
            "telephone_number": "612-703-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 S Juniper St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191485509",
            "country_code": "US",
            "telephone_number": "612-703-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHANI",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "39931",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "03461920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.