NPIMap

Organization Active NPI

David W McSurdy DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Collegeville, PA
National Provider Identifier
1003971896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
024338L Issued in PA
Legal business name
DAVID W MCSURDY DMD PC
Practice address
430 Park Ave
Ste 200
Collegeville, PA 19426
Phone
(610) 489-6032
Fax
(610) 489-0396
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David W McSurdy Jr., DMDNPI 1417367053
Title
Doctor Owner
Phone
(610) 489-6032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 024338L PA Primary

Addresses

Primary practice location

430 Park Ave
Ste 200
Collegeville, PA 19426

Mailing address

430 Park Ave
Ste 200
Collegeville, PA 19426
Phone (610) 489-6032

Other names 1

  • The Snule Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

430 Park Ave
Ste 200
Collegeville, PA 19426
Phone (610) 489-6032

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003971896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "address_2": "STE 200",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "610-489-6032",
            "fax_number": "610-489-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "address_2": "STE 200",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "19426",
            "telephone_number": "610-489-6032",
            "fax_number": "610-489-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W MCSURDY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCSURDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "610-489-6032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "024338L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Snule Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.