Organization Active NPI

MVP Family Dental,LLC

  • General Practice Dentistry
  • Jenkintown, PA
National Provider Identifier
1124446125
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MVP FAMILY DENTAL,LLC
Practice address
1653 The Fairway
Baederwood Offices,Suite 205
Jenkintown, PA 19046-1420
Phone
(215) 887-7171
Fax
(215) 885-5630
NPI assigned
Apr 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2014

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

Authorized official

Name
Dr. Vineetha M Thomas, D.M.DNPI 1093879231
Title
Dentist/Owner/Partner
Phone
(215) 887-7171

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1653 The Fairway
Baederwood Offices,Suite 205
Jenkintown, PA 19046-1420

Mailing address

8302 Old York Rd
Suite B-10
Elkins Park, PA 19027-1522
Phone (215) 887-7171

National Provider Directory

National Provider Directory

Locations

8302 Old York Rd
Ste B10
Elkins Park, PA 19027
Phone (215) 277-1311

1653 The Fairway
Ste 205
Jenkintown, PA 19046
Phone (215) 887-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1124446125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 OLD YORK RD",
            "address_2": "SUITE B-10",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271522",
            "telephone_number": "215-887-7171",
            "fax_number": "215-885-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 THE FAIRWAY",
            "address_2": "BAEDERWOOD OFFICES,SUITE 205",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190461420",
            "telephone_number": "215-887-7171",
            "fax_number": "215-885-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP FAMILY DENTAL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VINEETHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/OWNER/PARTNER",
        "authorized_official_telephone_number": "215-887-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.