Individual provider Active NPI

Austin Patrick Daly, M.D., D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Meadowbrook, PA
National Provider Identifier
1861713786
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS040640 Issued in PA
Practice address
1650 Huntingdon Pike Ste 219
Meadowbrook, PA 19046-8006
Phone
(215) 938-7860
Fax
(215) 857-8189
NPI assigned
Jun 15, 2010
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS040640 PA Primary

Addresses

Primary practice location

1650 Huntingdon Pike Ste 219
Meadowbrook, PA 19046-8006

Mailing address

105 Lakeside Park Ofc Park
Southampton, PA 18966-4048
Phone (215) 938-7860

Other practice location 1

103 Progress Dr Ste 102
Doylestown, PA 18901-2511
Phone (215) 938-7860

Other practice location 2

2630 Holme Ave Ste 103
Philadelphia, PA 19152-3004
Phone (215) 938-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DS040640PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical, PC PastSince Aug 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adaly4255064@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1861713786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAKESIDE PARK OFC PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664048",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNTINGDON PIKE STE 219",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468006",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Progress Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Doylestown",
            "state": "PA",
            "postal_code": "189012511",
            "country_code": "US",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 Holme Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523004",
            "country_code": "US",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "AUSTIN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS040640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadowbrook, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.