Organization Active NPI

Leonard Reichman Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Phila, PA
National Provider Identifier
1154348662
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS018002L Issued in PA
Legal business name
LEONARD REICHMAN ASSOCIATES
Practice address
1521 Locust St
Suite 600
Phila, PA 19102-3727
Phone
(215) 735-6241
Fax
(215) 735-6242
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Stanton M Braid, D.M.D.
Title
President
Phone
(215) 735-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS018002L PA Primary

Addresses

Primary practice location

1521 Locust St
Suite 600
Phila, PA 19102-3727

Mailing address

1521 Locust St
Suite 600
Phila, PA 19102-3727
Phone (215) 735-6241

Other identifiers 1

IdentifierTypeStateIssuer
0005238080001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1521 Locust St
Ste 600
Philadelphia, PA 19102
Phone (215) 735-6241

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1154348662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 LOCUST ST",
            "address_2": "SUITE 600",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191023727",
            "telephone_number": "215-735-6241",
            "fax_number": "215-735-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 LOCUST ST",
            "address_2": "SUITE 600",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191023727",
            "telephone_number": "215-735-6241",
            "fax_number": "215-735-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD REICHMAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "BRAID",
        "authorized_official_first_name": "STANTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-735-6241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS018002L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005238080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.