Penn Facial Imaging Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS036921 Issued in PA

Legal business name

PENN FACIAL IMAGING INC

Practice address

2571 Baglyos Cir
B31
Bethlehem, PA 18020-8045

Phone

(484) 821-1357

NPI assigned

Jan 27, 2014

Last updated

Jan 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Chaudhry, D.M.D

Title

President

Phone

(516) 459-8653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1235552258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR",
            "address_2": "B31",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208045",
            "telephone_number": "484-821-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR",
            "address_2": "B31",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208045",
            "telephone_number": "484-821-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN FACIAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-459-8653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS036921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherri Penchishen, MPH, RD, LDN
• Tribhuvan Kumar Pendurthi, M.D.
• Rick Alexander Pendzick, PA - C
• Adam Pengh, ATC, CSCS
• Penn Dental Arts PC (Gaspari family dental care)
• Pennje Laboratory Services, LLC
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #2459)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01036)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01311)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #00820)

• Dental Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.