NPIMap

Organization Active NPI

John J. Radomile and Mark G. Radomile PTR

Doing business as Radomile Family Dental Care

  • General Practice Dentistry
  • Drexel Hill, PA
National Provider Identifier
1871621946
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN J. RADOMILE AND MARK G. RADOMILE PTR
Doing business as
Radomile Family Dental Care
Practice address
4207 State Rd
Drexel Hill, PA 19026-3321
Phone
(610) 789-4066
Fax
(610) 789-8507
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John James Radomile Jr., DDS.NPI 1336275205
Title
General Partner
Phone
(610) 123-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4207 State Rd
Drexel Hill, PA 19026-3321

Mailing address

4207 State Rd
Drexel Hill, PA 19026-3321
Phone (610) 789-4066

Other names 1

  • Radomile Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871621946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-789-4066",
            "fax_number": "610-789-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263321",
            "telephone_number": "610-789-4066",
            "fax_number": "610-789-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. RADOMILE AND MARK G. RADOMILE PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADOMILE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "610-123-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radomile Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.