Individual provider Active NPI

Sandra Joann Beer-Edelman, DDS

  • General Practice Dentistry
  • Wyomissing, PA
National Provider Identifier
1922174200
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-029967L Issued in PA
Practice address
1901 Ridgewood Ave
Wyomissing, PA 19610-1231
Phone
(610) 373-3720
Fax
(610) 373-7014
NPI assigned
Nov 28, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-029967L PA Primary

Addresses

Primary practice location

1901 Ridgewood Ave
Wyomissing, PA 19610-1231

Mailing address

1901 Ridgewood Ave
Wyomissing, PA 19610-1231
Phone (610) 373-3720

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171016001321 PA Order and Referring Only - DentistPractitioner - Dentist 3779859970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-029967LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
George Linsey O.D. P.C. PastSince Aug 9, 2012 Accepting new patients
Steven Diak, DMD, PC General Practice PastSince May 17, 2020 Accepting new patients

Organizations & group practices 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1922174200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101231",
            "telephone_number": "610-373-3720",
            "fax_number": "610-373-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101231",
            "telephone_number": "610-373-3720",
            "fax_number": "610-373-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEER-EDELMAN",
        "first_name": "SANDRA",
        "middle_name": "JOANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-029967L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.