Dheeren Padhiar, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0041502 Issued in PA

Practice address

4130 Bloomfield Ave
Drexel Hill, PA 19026-3803

Phone

(610) 284-4770

NPI assigned

May 1, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Padhiar Group

  • General Practice Dentistry
  • Drexel Hill, PA
  • NPI 1174215362
  NPD Authorized official
• Dental Wellness NJ LLC

  • Dentist
  • Marlton, NJ
  • NPI 1700732401
  NPD

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1184150815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COUNTRY DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194647222",
            "telephone_number": "610-804-1408"
        },
        {
            "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": [
        {
            "address_1": "74 E Laurel St Apt 8",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191231752",
            "country_code": "US",
            "telephone_number": "610-804-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADHIAR",
        "first_name": "DHEEREN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS0041502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Leonard Oteri, M.D.
• Anita Ott, DO
• Travon Owens, DPM
• Catherine Paczkowski, MSW, LSW
• Padhiar Group
• Jodi Paisner
• Pamela Miller Lunardi, Psy.D., P.C.
• Pandolfo Chiropractic Center
• John Pandolfo, D.C.
• John Russell Pandolfo

• General Practice Dentistry in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.