Individual provider Active NPI

Hibbat Malik, DMD

  • Dentist
  • Lafayette Hill, PA
National Provider Identifier
1013255595
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039184 Issued in PA
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

Updated by the provider on Jan 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003581 PA Order and Referring Only - DentistPractitioner - Dentist 5395064281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.