Organization Active NPI

Dental Implant Solutions of Greater Philadelphia, LLC

  • Dentist
  • Abington, PA
National Provider Identifier
1023470895
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020755L Issued in PA
Legal business name
DENTAL IMPLANT SOLUTIONS OF GREATER PHILADELPHIA, LLC
Practice address
1260 Easton Rd
Abington, PA 19001-3128
Phone
(215) 695-6666
Fax
(215) 884-9085
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Dr. I. Jay Freedman, DDS
Title
Owner
Phone
(215) 695-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS020755L PA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DS026216L PA

Addresses

Primary practice location

1260 Easton Rd
Abington, PA 19001-3128

Mailing address

1260 Easton Rd
Abington, PA 19001-3128
Phone (215) 695-6666

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1023470895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 EASTON RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013128",
            "telephone_number": "215-695-6666",
            "fax_number": "215-884-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EASTON RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013128",
            "telephone_number": "215-695-6666",
            "fax_number": "215-884-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT SOLUTIONS OF GREATER PHILADELPHIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "I.",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-695-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020755L",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS026216L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.