NPIMap

Organization Active NPI

Willowood Family Dental Care P.C.

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1164894606
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037562 Issued in PA
Legal business name
WILLOWOOD FAMILY DENTAL CARE P.C.
Practice address
185 Willow Dr
Levittown, PA 19054-3116
Phone
(215) 943-4484
Fax
(267) 580-0199
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Dr. Anuradha GantaNPI 1174752349
Title
Owner
Phone
(763) 222-8485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS037562 PA Primary

Addresses

Primary practice location

185 Willow Dr
Levittown, PA 19054-3116

Mailing address

185 Willow Dr
Levittown, PA 19054-3116
Phone (215) 943-4484

National Provider Directory

National Provider Directory

Locations

185 Willow Dr
Levittown, PA 19054
Phone (215) 943-4484

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1164894606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WILLOW DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543116",
            "telephone_number": "215-943-4484",
            "fax_number": "267-580-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WILLOW DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543116",
            "telephone_number": "215-943-4484",
            "fax_number": "267-580-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWOOD FAMILY DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "GANTA",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-222-8485",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.