Organization Active NPI

Gowda-Trivedi LLC

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1083868822
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036359 Issued in PA
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0005292490001MedicaidPA

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.

Verify at the official NPI Registry.