South Philadelphia Orthodontic Associates

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTH PHILADELPHIA ORTHODONTIC ASSOCIATES

Practice address

2517 S Broad St
Philadelphia, PA 19148-4369

Phone

(215) 271-8870

NPI assigned

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Cohen, DMD,MSDNPI 1548280654

Title

Owner/Partner

Phone

(215) 271-8870

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Vincent J Gerardi DMD2 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.

• South Philadelphia Orthodontic Associates Dba Centerton Orthodontics

  dba Centerton Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pittsgrove, NJ
  • NPI 1861208175
  NPD tax ID

Practitioners 1

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.

• Steven Michael Cohen, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
  • NPI 1548280654
  NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1144036450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484369",
            "telephone_number": "215-271-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484369",
            "telephone_number": "215-271-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PHILADELPHIA ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "215-271-8870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1548280654",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1427503051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Eastern Pennsylvania Medical Supplies
• South Philadelphia Dental Associates
• South Philadelphia Dental Group
• South Philadelphia Family Medicine
• South Philadelphia Open MRI, LLC (South Philadelphia Open MRI)
• South Philadelphia Pain Management
• South Philadelphia Pediatrics
• South Philadelphia PS
• South Philly Chiropractic, LLC
• South Philly East Health and Wellness (Hansjorg Wyss Wellness Center)

• Orthodontics and Dentofacial Orthopedics Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.