Active NPI
Leonard Reichman Associates
- Oral and Maxillofacial Surgery (Dentist)
- Phila, PA
National Provider Identifier
1154348662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS018002L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005238080001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.