Active NPI
Anthony Machani, DMD
- Pediatric Dentistry
- York, PA
National Provider Identifier
1740639012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 39931
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170706002040 | PA | Order and Referring Only - Other (Physician) | 6901175967 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03461920 | PA | MD | Pediatric Dentist |
| 39931 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amani Pediatric Dentistry PLLC | General Practice | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.