Organization Active NPI

Mestichelli Barnes Dental Associate

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1144934472
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MESTICHELLI BARNES DENTAL ASSOCIATE
Practice address
1903 S Broad St
Philadelphia, PA 19148-2216
Phone
(215) 334-2000
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Jaclyn Barnes
Title
Office Manager
Phone
(215) 334-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1903 S Broad St
Philadelphia, PA 19148-2216

Mailing address

1903 S Broad St
Philadelphia, PA 19148-2216
Phone (215) 334-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hushmail

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1144934472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482216",
            "telephone_number": "215-334-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482216",
            "telephone_number": "215-334-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESTICHELLI BARNES DENTAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-334-2000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hushmail",
            "affiliation": "N",
            "address_1": "1903 S Broad St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191482216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 11, 2023; 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.