Active NPI
Greater Philadelphia Health Action, Inc.
- Dental Clinic/Center
- Phila, PA
National Provider Identifier
1023171303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- GREATER PHILADELPHIA HEALTH ACTION, INC.
- Doing business as
- GPHA Wilson Park Dental Services
- Practice address
- 2520 Snyder Ave
Phila, PA 19145-3101 - Phone
- (215) 755-6866
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Heigler
- Title
- Ceo
- Phone
- (215) 925-2400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2520 Snyder Ave
Phila, PA 19145-3101
Mailing address
432 N 6TH St
Phila, PA 19123-4004
Phone (215) 925-2400
Other names 1
- GPHA Wilson Park Dental Services
National Provider Directory
National Provider Directory- Tax ID family
- Wilson Park Medical
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254441600000",
"number": "1023171303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 N 6TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191234004",
"telephone_number": "215-925-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 SNYDER AVE",
"city": "PHILA",
"state": "PA",
"postal_code": "191453101",
"telephone_number": "215-755-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER PHILADELPHIA HEALTH ACTION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2009-10-02",
"status": "A",
"authorized_official_last_name": "HEIGLER",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-925-2400"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GPHA Wilson Park Dental Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.