NPIMap

Organization Active NPI

Upper Darby Smile PC

  • Health Maintenance Organization
  • Upper Darby, PA
National Provider Identifier
1083004998
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DS023270L Issued in PA
Legal business name
UPPER DARBY SMILE PC
Practice address
6776 Market St
Upper Darby, PA 19082-2432
Phone
(215) 431-4898
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Glenn Aurthor Brown, DMD
Title
Director
Phone
(215) 431-4898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DS023270L PA Primary

Addresses

Primary practice location

6776 Market St
Upper Darby, PA 19082-2432

Mailing address

6776 Market St
Upper Darby, PA 19082-2432
Phone (215) 431-4898

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1083004998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822432",
            "telephone_number": "215-431-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822432",
            "telephone_number": "215-431-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER DARBY SMILE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "AURTHOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-431-4898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "DS023270L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.