Individual provider Active NPI

Steven Schlesinger, D.M.D.

  • General Practice Dentistry
  • Bala Cynwyd, PA
National Provider Identifier
1073536694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026121L Issued in PA
Practice address
115 Conshohocken State Rd
Bala Cynwyd, PA 19004-2312
Phone
(610) 664-3383
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS026121L PA Primary

Addresses

Primary practice location

115 Conshohocken State Rd
Bala Cynwyd, PA 19004-2312

Mailing address

115 Conshohocken State Rd
Bala Cynwyd, PA 19004-2312
Phone (610) 664-3383

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225001569 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8426374026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS026121LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073536694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONSHOHOCKEN STATE RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042312",
            "telephone_number": "610-664-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CONSHOHOCKEN STATE RD",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042312",
            "telephone_number": "610-664-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLESINGER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026121L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.