Organization Active NPI

Daniel O. Dada, M.D., P.C.

  • Pediatrics Physician
  • Chester, PA
National Provider Identifier
1871701532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD030353-E Issued in PA
Legal business name
DANIEL O. DADA, M.D., P.C.
Practice address
2621 W 9TH St
Chester, PA 19013-2115
Phone
(610) 494-7666
Fax
(610) 494-9025
NPI assigned
May 18, 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. Daniel O. Dada, M.D.
Title
Pediatrician
Phone
(610) 494-7666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MD030353-E PA Primary

Addresses

Primary practice location

2621 W 9TH St
Chester, PA 19013-2115

Mailing address

2621 W 9TH St
Chester, PA 19013-2115
Phone (610) 494-7666

Other identifiers 9

IdentifierTypeStateIssuer
1131507OtherPAKEYSTONE MERCY-GROUP
0031509000OtherPAKEYSTONE EAST-INDIVIDUAL
0784853002OtherPAKEYSTONE EAST-GROUP
0784853000OtherPAPERSONAL CHOICE-GROUP
2360241OtherPAAETNA - GROUP
1060046OtherPAKEYSTONE MERCY-INDIVIDUAL
2360247OtherPAAETNA-INDIVIDUAL
0031509000OtherPAPERSONAL CHOICE-IND.
0092891305OtherPAAMERICHOICE OF PA

National Provider Directory

National Provider Directory
Tax ID family
Daniel O Dada MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871701532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132115",
            "telephone_number": "610-494-7666",
            "fax_number": "610-494-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W 9TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190132115",
            "telephone_number": "610-494-7666",
            "fax_number": "610-494-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL O. DADA, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "610-494-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD030353-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY-GROUP",
            "identifier": "1131507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST-INDIVIDUAL",
            "identifier": "0031509000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST-GROUP",
            "identifier": "0784853002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE-GROUP",
            "identifier": "0784853000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - GROUP",
            "identifier": "2360241",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY-INDIVIDUAL",
            "identifier": "1060046",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-INDIVIDUAL",
            "identifier": "2360247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE-IND.",
            "identifier": "0031509000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE OF PA",
            "identifier": "0092891305",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, 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.