Active NPI
Hibbat Malik, DMD
- Dentist
- Lafayette Hill, PA
National Provider Identifier
1013255595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039184
- Practice address
- 630 Germantown Pike
Lafayette Hill, PA 19444-1642 - Phone
- (610) 828-1499
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS039184 | PA | Primary |
Addresses
Primary practice location
630 Germantown Pike
Lafayette Hill, PA 19444-1642
Mailing address
630 Germantown Pike
Lafayette Hill, PA 19444-1642
Phone (610) 828-1499
Other practice location 1
4111 Bethlehem Pike
Telford, PA 18969-1128
Phone (215) 723-1135
Other practice location 2
6198 Butler Pike Ste 140
Blue Bell, PA 19422-2606
Phone (215) 643-9858
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231206003581 | PA | Order and Referring Only - Dentist | 5395064281 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hershman Family Dentistry | Past | Accepting new patients | |
| Broad Axe Family Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Blue Bell, PA
- NPI 1972983609
-
- General Practice Dentistry
- Lafayette Hill, PA
- NPI 1114349768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1013255595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441642",
"telephone_number": "610-828-1499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 GERMANTOWN PIKE",
"city": "LAFAYETTE HILL",
"state": "PA",
"postal_code": "194441642",
"telephone_number": "610-828-1499"
}
],
"practiceLocations": [
{
"address_1": "4111 Bethlehem Pike",
"address_purpose": "LOCATION",
"city": "Telford",
"state": "PA",
"postal_code": "189691128",
"country_code": "US",
"telephone_number": "215-723-1135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6198 Butler Pike Ste 140",
"address_purpose": "LOCATION",
"city": "Blue Bell",
"state": "PA",
"postal_code": "194222606",
"country_code": "US",
"telephone_number": "215-643-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "HIBBAT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.