Organization Active NPI

Lancaster Pediatric Dental Associates, P.C.

  • Pediatric Dentistry
  • Lancaster, PA
National Provider Identifier
1922303874
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS021231L Issued in PA
Legal business name
LANCASTER PEDIATRIC DENTAL ASSOCIATES, P.C.
Practice address
1875 Lititz Pike
Suite 9
Lancaster, PA 17601-6515
Phone
(717) 560-9002
Fax
(717) 560-5102
NPI assigned
Jan 24, 2011
Last updated
Jan 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Peter J. Ross, DMDNPI 1295843761
Title
President
Phone
(717) 560-9002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS021231L PA Primary

Addresses

Primary practice location

1875 Lititz Pike
Suite 9
Lancaster, PA 17601-6515

Mailing address

1875 Lititz Pike
Suite 9
Lancaster, PA 17601-6515
Phone (717) 560-9002

National Provider Directory

National Provider Directory

Locations

1875 Lititz Pike
Ste 9
Lancaster, PA 17601
Phone (717) 454-2276

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1922303874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 LITITZ PIKE",
            "address_2": "SUITE 9",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016515",
            "telephone_number": "717-560-9002",
            "fax_number": "717-560-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 LITITZ PIKE",
            "address_2": "SUITE 9",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016515",
            "telephone_number": "717-560-9002",
            "fax_number": "717-560-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER PEDIATRIC DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-560-9002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS021231L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.