NPIMap

Organization Active NPI

Fox Ridge Dental Associates

  • General Practice Dentistry
  • Limerick, PA
National Provider Identifier
1083933907
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029513L Issued in PA
Legal business name
FOX RIDGE DENTAL ASSOCIATES
Practice address
292 W Ridge Pike
BLDG B 2ND FL
Limerick, PA 19468-3716
Phone
(484) 973-6567
Fax
(484) 973-6573
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Mersad Nik Hoorfar, DMD
Title
Owner/Dentist
Phone
(484) 973-6567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS029513L PA Primary

Addresses

Primary practice location

292 W Ridge Pike
BLDG B 2ND FL
Limerick, PA 19468-3716

Mailing address

292 W Ridge Pike
BLDG B 2ND FL
Limerick, PA 19468-3716
Phone (484) 973-6567

National Provider Directory

National Provider Directory
Tax ID family
Fox Ridge Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

292 W Ridge Pike
Bldg B
Limerick, PA 19468
Phone (484) 973-6567

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1083933907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 W RIDGE PIKE",
            "address_2": "BLDG B 2ND FL",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194683716",
            "telephone_number": "484-973-6567",
            "fax_number": "484-973-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 W RIDGE PIKE",
            "address_2": "BLDG B 2ND FL",
            "city": "LIMERICK",
            "state": "PA",
            "postal_code": "194683716",
            "telephone_number": "484-973-6567",
            "fax_number": "484-973-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX RIDGE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "HOORFAR",
        "authorized_official_first_name": "MERSAD",
        "authorized_official_middle_name": "NIK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "484-973-6567",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029513L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limerick, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.