Individual provider Active NPI

Nedra Bemri, DMD

  • General Practice Dentistry
  • Langhorne, PA
National Provider Identifier
1083454391
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044576 Issued in PA
Practice address
404 Middletown Blvd Ste 300
Langhorne, PA 19047-1897
Phone
(215) 757-4400
NPI assigned
May 27, 2024
Last updated
May 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044576 PA
General Practice Dentistry 1223G0001X DS044576 PA Primary

Addresses

Primary practice location

404 Middletown Blvd Ste 300
Langhorne, PA 19047-1897

Mailing address

1712 Ingersoll St
Philadelphia, PA 19121-5013
Phone (267) 351-0875

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
DS044576PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A-1 Family Dental Care, PC General Practice PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

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": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1083454391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 INGERSOLL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191215013",
            "telephone_number": "267-351-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MIDDLETOWN BLVD STE 300",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471897",
            "telephone_number": "215-757-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMRI",
        "first_name": "NEDRA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044576",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.