Hoorfar Dental Group-Spring Garden LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS 029513L Issued in PA

Legal business name

HOORFAR DENTAL GROUP-SPRING GARDEN LLC

Practice address

1825 Spring Garden St
Philadelphia, PA 19130-3916

Phone

(215) 972-0965

NPI assigned

Oct 11, 2016

Last updated

Oct 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mariellen Hanlin

Title

Office Manager

Phone

(215) 643-5220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1164972451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303916",
            "telephone_number": "215-972-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303916",
            "telephone_number": "215-972-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOORFAR DENTAL GROUP-SPRING GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "HANLIN",
        "authorized_official_first_name": "MARIELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-643-5220"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 029513L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Hookim-Vickers, M.D.
• Nicole Lynne Hooley, MSED
• Veronique Natalie Hooper
• Staci Hoops, PA-C
• Timothy C Hoops, MD
• Jamael Ahmed Hoosain, M.D.
• Amanda Kay Hooton, LSW
• Karen M Hooven, PA-C
• Maggie Mackenzie Hooven, DO
• Brendan Arthur Hoover, PA-C

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.