Organization Active NPI

DJ Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Reading, PA
National Provider Identifier
1013332626
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS038518 Issued in PA
Legal business name
DJ ORTHODONTICS LLC
Practice address
3611 Perkiomen Ave
Reading, PA 19606-2712
Phone
(610) 401-0559
NPI assigned
Feb 19, 2014
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Mrs. Melissa Dugan
Title
Business Manager
Phone
(484) 809-5167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS038518 PA Primary

Addresses

Primary practice location

3611 Perkiomen Ave
Reading, PA 19606-2712

Mailing address

202 Exton CMNS
Exton, PA 19341-2449

National Provider Directory

National Provider Directory

Locations

202 Exton Cmns
Exton, PA 19341
Phone (610) 514-1616

3611 Perkiomen Ave
Reading, PA 19606
Phone (610) 401-0559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1013332626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 EXTON CMNS",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062712",
            "telephone_number": "610-401-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJ ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "484-809-5167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.