Organization Active NPI

Jake M Dorfman DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Southampton, PA
National Provider Identifier
1184275299
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JAKE M DORFMAN DMD PLLC
Practice address
345 Knowles Ave Ste 7
Southampton, PA 18966-4191
Phone
(215) 917-6690
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Dr. Jake Dorfman, DMDNPI 1467989921
Title
Owner
Phone
(215) 917-6690

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

345 Knowles Ave Ste 7
Southampton, PA 18966-4191

Mailing address

155 Gleniffer Hill Rd
Richboro, PA 18954-1368

National Provider Directory

National Provider Directory

Locations

345 Knowles Ave
Ste 7
Southampton, PA 18966
Phone (215) 917-6690

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": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1184275299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GLENIFFER HILL RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KNOWLES AVE STE 7",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664191",
            "telephone_number": "215-917-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAKE M DORFMAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-917-6690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.