Individual provider Active NPI

Joseph F Palermo, D.M.D

  • Endodontics
  • Chalfont, PA
National Provider Identifier
1174611404
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS028445L Issued in PA
Practice address
1500 Horizon Dr
Suite 112
Chalfont, PA 18914-3966
Phone
(215) 997-9888
Fax
(215) 997-9890
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS028445L PA Primary

Addresses

Primary practice location

1500 Horizon Dr
Suite 112
Chalfont, PA 18914-3966

Mailing address

1500 Horizon Dr
Suite 112
Chalfont, PA 18914-3966
Phone (215) 997-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS028445LPAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Endodontics Endodontics PastSince Aug 18, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174611404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR",
            "address_2": "SUITE 112",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "215-997-9888",
            "fax_number": "215-997-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HORIZON DR",
            "address_2": "SUITE 112",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143966",
            "telephone_number": "215-997-9888",
            "fax_number": "215-997-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS028445L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalfont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.