Individual provider Active NPI

Olimbi Ekmekcioglu, DMD

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1073739066
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036624 Issued in PA
Practice address
2821 Island Ave
Philadelphia, PA 19153-2300
Phone
(215) 492-9291
Fax
(215) 492-5856
NPI assigned
Apr 18, 2007
Last updated
Jun 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02309000 NJ
Dentist 122300000X DS036624 PA Primary
Dentist 122300000X 053416 NY

Addresses

Primary practice location

2821 Island Ave
Philadelphia, PA 19153-2300

Mailing address

225 S 44TH St
2ND. Floor
Philadelphia, PA 19104-2932
Phone (267) 973-3626

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
22DI02309000NJMDDentist
DS036624PAMDDentist
053416NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1073739066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 44TH ST",
            "address_2": "2ND. FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042932",
            "telephone_number": "267-973-3626",
            "fax_number": "215-382-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191532300",
            "telephone_number": "215-492-9291",
            "fax_number": "215-492-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMEKCIOGLU",
        "first_name": "OLIMBI",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02309000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036624",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053416",
            "primary": false
        }
    ],
    "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 Jun 4, 2012; 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.