Individual provider Active NPI

Elizabeth K. Prada Da Costa, D.M.D.

  • Pediatric Dentistry
  • Lancaster, PA
National Provider Identifier
1992907471
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15333 Issued in MD
Practice address
223 N Lime St
Lancaster, PA 17602-2748
Phone
(717) 394-3793
Fax
(717) 396-7409
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS036963 PA
Pediatric Dentistry 1223P0221X 15333 MD Primary
Pediatric Dentistry 1223P0221X 2901020620 MI

Addresses

Primary practice location

223 N Lime St
Lancaster, PA 17602-2748

Mailing address

223 N Lime St
Lancaster, PA 17602-2748
Phone (717) 394-3793

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
I20240308002246 PA Order and Referring Only - Pediatric DentistryPractitioner - Pediatric Dentistry 1456797752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901020620MIMDPediatric Dentist
DS036963PAMDPediatric Dentist
15333MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1992907471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022748",
            "telephone_number": "717-394-3793",
            "fax_number": "717-396-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022748",
            "telephone_number": "717-394-3793",
            "fax_number": "717-396-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADA DA COSTA",
        "first_name": "ELIZABETH",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS036963",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15333",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901020620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.