Organization Active NPI

Patelka Dental Management at Frankford

  • Dentist
  • Phila, PA
National Provider Identifier
1073998282
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020408L Issued in PA
Legal business name
PATELKA DENTAL MANAGEMENT AT FRANKFORD
Practice address
8037 Frankford Ave
2ND Floor
Phila, PA 19136-2756
Phone
(215) 338-5454
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Rasik G Patel
Title
Dentist
Phone
(215) 338-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS020408L PA Primary

Addresses

Primary practice location

8037 Frankford Ave
2ND Floor
Phila, PA 19136-2756

Mailing address

PO Box 6104
Phila, PA 19115-6104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1073998282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6104",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191156104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8037 FRANKFORD AVE",
            "address_2": "2ND FLOOR",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191362756",
            "telephone_number": "215-338-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATELKA DENTAL MANAGEMENT AT FRANKFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RASIK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-338-5454"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020408L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.