Organization Active NPI

Theodore J. Blinder DDS Asso

  • General Practice Dentistry
  • Havertown, PA
National Provider Identifier
1235143116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THEODORE J. BLINDER DDS ASSO
Practice address
2427 W Darby Rd
Havertown, PA 19083-1422
Phone
(610) 446-4596
Fax
(610) 449-1863
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Theodore J. Blinder, DDS
Title
President
Phone
(610) 446-2221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2427 W Darby Rd
Havertown, PA 19083-1422

Mailing address

2427 W Darby Rd
Havertown, PA 19083-1422
Phone (610) 446-4596

National Provider Directory

National Provider Directory

Locations

2427 W Darby Rd
Havertown, PA 19083
Phone (610) 446-2221

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235143116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 W DARBY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831422",
            "telephone_number": "610-446-4596",
            "fax_number": "610-449-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 W DARBY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831422",
            "telephone_number": "610-446-4596",
            "fax_number": "610-449-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J. BLINDER DDS ASSO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLINDER",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-446-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.