Active NPI
Paul Jonathan Kolman, DMD
- Pediatric Dentistry
- Downingtown, PA
National Provider Identifier
1932761533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS042298
- Practice address
- 3915 W Lincoln Hwy
Downingtown, PA 19335-5502 - Phone
- (610) 269-1900
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042298 | PA | |
| Dentist | 122300000X | 30.026597 | OH | |
| Pediatric Dentistry | 1223P0221X | DS042298 | PA | Primary |
Addresses
Primary practice location
3915 W Lincoln Hwy
Downingtown, PA 19335-5502
Mailing address
1301 Glenbrook Rd
Huntingdon Valley, PA 19006-8322
Phone (215) 680-4588
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-4486
Other practice location 2
240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026597 | OH | MD | Dentist |
| DS042298 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1932761533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 GLENBROOK RD",
"city": "HUNTINGDON VALLEY",
"state": "PA",
"postal_code": "190068322",
"telephone_number": "215-680-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 W LINCOLN HWY",
"city": "DOWNINGTOWN",
"state": "PA",
"postal_code": "193355502",
"telephone_number": "610-269-1900"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-4486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Geiger Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151008",
"country_code": "US",
"telephone_number": "215-677-0380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLMAN",
"first_name": "PAUL",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS042298",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026597",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS042298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downingtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.