Active NPI
Fernando D Presser, DMD PC
- Prosthodontics
- Philadelphia, PA
National Provider Identifier
1033319165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS027289L
- Practice address
- 100 S Broad St
Suite 2020
Philadelphia, PA 19110-1023 - Phone
- (215) 546-0200
- Fax
- (215) 546-2961
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS027289L | PA | Primary |
Addresses
Primary practice location
100 S Broad St
Suite 2020
Philadelphia, PA 19110-1023
Mailing address
600 Louis Dr
Suite 203
Warminster, PA 18974-2844
Phone (215) 546-0200
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 |
|---|---|---|---|---|
| I20160129000576 | PA | Order and Referring Only - Oral Surgery | 3375846009 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS027289L | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1033319165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LOUIS DR",
"address_2": "SUITE 203",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189742844",
"telephone_number": "215-546-0200",
"fax_number": "215-546-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S BROAD ST",
"address_2": "SUITE 2020",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191101023",
"telephone_number": "215-546-0200",
"fax_number": "215-546-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESSER",
"first_name": "FERNANDO",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS027289L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.