Organization Active NPI

Anand V Rao DMD PC

Doing business as Dentists On The Square

  • Preferred Provider Organization
  • Philadelphia, PA
National Provider Identifier
1104123223
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DS031366L Issued in PA
Legal business name
ANAND V RAO DMD PC
Doing business as
Dentists On The Square
Practice address
1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708
Phone
(215) 567-0110
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. Anand Vasist Rao, DMDNPI 1063506939
Title
President
Phone
(215) 567-0110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DS031366L PA Primary

Addresses

Primary practice location

1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708

Mailing address

1845 Walnut St
Suite 950
Philadelphia, PA 19103-4708
Phone (215) 567-0110

Other identifiers 1

IdentifierTypeStateIssuer
1063506939OtherPANPI

Other names 1

  • Dentists On The Square Doing business as

National Provider Directory

National Provider Directory

Locations

1845 Walnut St
Ste 950
Philadelphia, PA 19103
Phone (215) 567-0110

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1104123223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST",
            "address_2": "SUITE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034708",
            "telephone_number": "215-567-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 WALNUT ST",
            "address_2": "SUITE 950",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034708",
            "telephone_number": "215-567-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAND V RAO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "VASIST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-567-0110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "DS031366L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063506939",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists On The Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 25, 2011; 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.