Organization Active NPI

Padhiar Group

  • General Practice Dentistry
  • Drexel Hill, PA
National Provider Identifier
1174215362
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PADHIAR GROUP
Doing business as
Bloomfield Dental
Practice address
4130 Bloomfield Ave
Drexel Hill, PA 19026-3803
Phone
(610) 284-4770
NPI assigned
May 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Dr. Dheeren Padhiar, DMDNPI 1184150815
Title
Owner
Phone
(610) 804-1408

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803

Mailing address

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803
Phone (610) 284-4770

Other names 1

  • Bloomfield Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4130 Bloomfield Ave
Drexel Hill, PA 19026
Phone (610) 284-4770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1174215362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 BLOOMFIELD AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190263803",
            "telephone_number": "610-284-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADHIAR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "PADHIAR",
        "authorized_official_first_name": "DHEEREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-804-1408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.