Active NPI
Gowda-Trivedi LLC
- Dentist
- Philadelphia, PA
National Provider Identifier
1083868822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS036359
- Legal business name
- GOWDA-TRIVEDI LLC
- Practice address
- 7265 Revere St
Philadelphia, PA 19149-1429 - Phone
- (215) 335-0707
- Fax
- (215) 335-0797
- NPI assigned
- Nov 6, 2008
- Organization subpart
- Yes
- Parent organization
- ABAROT DDS PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priya Barot
- Title
- Office Manager
- Phone
- (215) 335-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS036359 | PA | Primary |
Addresses
Primary practice location
7265 Revere St
Philadelphia, PA 19149-1429
Mailing address
7265 Revere St
Philadelphia, PA 19149-1429
Phone (215) 335-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005292490001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Part of
- Abarot Ddspc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225929600000",
"number": "1083868822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7265 REVERE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491429",
"telephone_number": "215-335-0707",
"fax_number": "215-335-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7265 REVERE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491429",
"telephone_number": "215-335-0707",
"fax_number": "215-335-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOWDA-TRIVEDI LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ABAROT DDS PC",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A",
"authorized_official_last_name": "BAROT",
"authorized_official_first_name": "PRIYA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "215-335-0707"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS036359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005292490001",
"state": "PA"
}
],
"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 Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.