Active NPI
Daniel O. Dada, M.D.
- Pediatrics Physician
- Chester, PA
National Provider Identifier
1992849558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD030353-E
- Practice address
- 230 E 24TH St
Chester, PA 19013-4634 - Phone
- (610) 874-6553
- Fax
- (610) 874-6653
- NPI assigned
- Feb 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD030353-E | PA | Primary |
Addresses
Primary practice location
230 E 24TH St
Chester, PA 19013-4634
Mailing address
1120 Belvedere Rd
Boothwyn, PA 19061-1523
Phone (610) 358-0588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031509001 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 10008 | Other | PA | KEYSTONE MERCY HEALTH |
| 009289130004 | Medicaid | PA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD030353-E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel O. Dada, M.D., PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Chester, PA
- NPI 1821205691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992849558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 BELVEDERE RD",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "190611523",
"telephone_number": "610-358-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 24TH ST",
"city": "CHESTER",
"state": "PA",
"postal_code": "190134634",
"telephone_number": "610-874-6553",
"fax_number": "610-874-6653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "DANIEL",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD030353-E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0031509001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH",
"identifier": "10008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009289130004",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.