Opal Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OPAL FAMILY DENTAL PC

Practice address

364 Wilmington Pike Ste A1
Glen Mills, PA 19342-1261

Phone

(610) 488-2922

NPI assigned

Apr 7, 2019

Last updated

Jul 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adarsh Modani, DDSNPI 1245645696

Title

President

Phone

(610) 558-0800

Specialties & licenses 1

Addresses

Other names 1

• OPAL FAMILY DENTAL Other name

Practitioners 1

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.

• Adarsh Modani, D.D.S.

  • General Practice Dentistry
  • Glen Mills, PA
  • NPI 1245645696
  NPD Authorized official

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1841753902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON W CHESTER PIKE STE A1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428207",
            "telephone_number": "610-558-0800",
            "fax_number": "610-558-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 WILMINGTON PIKE STE A1",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421261",
            "telephone_number": "610-488-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "MODANI",
        "authorized_official_first_name": "ADARSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-558-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "OPAL FAMILY DENTAL",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OPAL FAMILY DENTAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Dentistry in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.