A Edward Kessel Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020637 Issued in PA

Practice address

664 Mahoning St
Milton, PA 17847-2240

Phone

(570) 742-8231

Fax

(570) 742-4980

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bryden & Kessel Family Dentistry

  • General Practice Dentistry
  • Milton, PA
  • NPI 1295752269

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861412876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 MAHONING ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178472240",
            "telephone_number": "570-742-8231",
            "fax_number": "570-742-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 MAHONING ST",
            "city": "MILTON",
            "state": "PA",
            "postal_code": "178472240",
            "telephone_number": "570-742-8231",
            "fax_number": "570-742-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSEL",
        "first_name": "A",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "735573",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdulla Jastaniah, DO
• Barbara E Johns
• Peter Maxfield Jones
• Oluchi Kalu, CRNP
• Beth Keller, NP-C
• Kevin M. Welch
• King Chiropractic, Inc.
• Shawn David King, D.C.
• Kramm Healthcare Center, Inc.
• Kramm Support Services

• All providers in Milton, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.