Neal Phatak, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS039784 Issued in PA

Practice address

1 Jasons Way
Annville, PA 17003-2037

Phone

(717) 867-5088

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Annville Dental Group PLLC

  • Dentist
  • Annville, PA
  • NPI 1396474839
  NPD (past)
• Silverman Dental Associates PC

  • Dentist
  • Annville, PA
  • NPI 1124119490
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463788800000",
    "number": "1861697930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JASONS WAY",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170032037",
            "telephone_number": "717-867-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JASONS WAY",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170032037",
            "telephone_number": "717-867-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHATAK",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2016-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050977",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Nielsen, M.D.
• Chiamaka Nnamani, MD
• William Joseph Noll III, D.M.D
• Krisha Patel
• Kelly Renee Peifer Shenk, CCC-SLP
• PHMG Annville LLC
• PHS Physical Therapy, LLC
• Pinnacle Health Medical Services
• Pinnacle Health Medical Services
• Pinnacle Health Medical Services

• Dentist in Annville, PA
• Providers in Annville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.