Individual provider Active NPI

Elmaz Dzhaparova, DMD

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1073325718
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044915 Issued in PA
Practice address
7025N Bristol Pike
Levittown, PA 19057-4707
Phone
(215) 915-0505
NPI assigned
Jan 21, 2025
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS044915 PA Primary

Addresses

Primary practice location

7025N Bristol Pike
Levittown, PA 19057-4707

Mailing address

24 Maple Ave
Cherry Hill, NJ 08002-1942
Phone (412) 576-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044915PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Dental Group PC CurrentSince Jan 26, 2025 Accepting new patients
Sleep Impressions, LLC PastSince Jan 26, 2025 Accepting new patients

Locations

7025 Bristol Pike
Levittown, PA 19057
Phone (215) 915-0505

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1073325718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAPLE AVE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021942",
            "telephone_number": "412-576-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025N BRISTOL PIKE",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190574707",
            "telephone_number": "215-915-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZHAPAROVA",
        "first_name": "ELMAZ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.