Organization Active NPI

Angstadt DMD PC

  • Dental Clinic/Center
  • Lancaster, PA
National Provider Identifier
1780435610
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANGSTADT DMD PC
Practice address
600D Eden Rd
Lancaster, PA 17601-4205
Phone
(717) 569-7787
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Authorized official

Name
Amy Garris
Title
Insurance/Credentialing Manager
Phone
(717) 394-1067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

600D Eden Rd
Lancaster, PA 17601-4205

Mailing address

600D Eden Rd
Lancaster, PA 17601-4205
Phone (717) 394-1067

Other names 1

  • Crooked Oak Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712448000000",
    "number": "1780435610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600D EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-394-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600D EDEN RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014205",
            "telephone_number": "717-569-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGSTADT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "GARRIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "717-394-1067"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crooked Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crooked Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.