NPIMap

Organization Active NPI

Denti Dental

  • Preferred Provider Organization
  • Philadelphia, PA
National Provider Identifier
1154740579
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DS029548L Issued in PA
Legal business name
DENTI DENTAL
Practice address
3609 Germantown Ave
Philadelphia, PA 19140-4225
Phone
(267) 616-4051
Fax
(215) 673-9052
NPI assigned
Apr 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Mrs. Irina Stepansky, DMD
Title
Dentist
Phone
(215) 673-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DS029548L PA Primary

Addresses

Primary practice location

3609 Germantown Ave
Philadelphia, PA 19140-4225

Mailing address

3609 Germantown Ave
Philadelphia, PA 19140-4225
Phone (267) 616-4051

National Provider Directory

National Provider Directory
Tax ID family
Denti Dental2 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.

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1154740579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404225",
            "telephone_number": "267-616-4051",
            "fax_number": "215-673-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404225",
            "telephone_number": "267-616-4051",
            "fax_number": "215-673-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTI DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-14",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "STEPANSKY",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-673-9050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PA",
            "license": "DS029548L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 14, 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.