Alta Smiles PA PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ALTA SMILES PA PC

Practice address

700 S Henderson Rd Ste 306
King of Prussia, PA 19406-4208

Phone

(215) 622-2653

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Talia Shemesh

Title

Marketing and Projects Manager

Phone

(215) 622-2653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1033717020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 VIRGINIA DR STE 119",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343225",
            "telephone_number": "215-622-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 306",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064208",
            "telephone_number": "215-622-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W Germantown Pike # 100",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034232",
            "country_code": "US",
            "telephone_number": "215-622-2653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALTA SMILES PA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "SHEMESH",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "MARKETING AND PROJECTS MANAGER",
        "authorized_official_telephone_number": "215-622-2653"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.