Individual provider Active NPI

Swetha Reddy Pakanati, DMD

  • General Practice Dentistry
  • Langhorne, PA
National Provider Identifier
1003115221
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038584 Issued in PA
Practice address
24 Summit Square Shopping Centre
Langhorne, PA 19047
Phone
(215) 530-4666
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02467800 NJ
General Practice Dentistry 1223G0001X DS038584 PA Primary

Addresses

Primary practice location

24 Summit Square Shopping Centre
Langhorne, PA 19047

Mailing address

24 Summit Square Shopping Centre
Langhorne, PA 19047

Other practice location 1

1245 Whitehorse Mercerville Rd Ste A-417
Trenton, NJ 08619-3831
Phone (609) 581-4322

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

LicenseStateTypeSpecialty
22DI02467800NJMDGeneral Practice Dentistry
DS038584PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dental of Hamilton PC CurrentSince May 16, 2021 Accepting new patients

Locations

1245 Whitehorse Mercerville Rd
Ste A417
Trenton, NJ 08619
Phone (609) 581-4322

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.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1003115221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SUMMIT SQUARE SHOPPING CENTRE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SUMMIT SQUARE SHOPPING CENTRE",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-530-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Whitehorse Mercerville Rd Ste A-417",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086193831",
            "country_code": "US",
            "telephone_number": "609-581-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAKANATI",
        "first_name": "SWETHA",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02467800",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.