Active NPI
Gentle Dental Oregon LLC
- Dentist
- Philadelphia, PA
National Provider Identifier
1245354075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- GENTLE DENTAL OREGON LLC
- Practice address
- 1419 W Oregon Ave
Philadelphia, PA 19145-4926 - Phone
- (215) 469-0220
- Fax
- (215) 551-0488
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Cole
- Title
- Insurance Director
- Phone
- (727) 726-1611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1419 W Oregon Ave
Philadelphia, PA 19145-4926
Mailing address
1419 W Oregon Ave
Philadelphia, PA 19145-4926
National Provider Directory
National Provider DirectoryLocations
1419 W Oregon Ave
Philadelphia, PA 19145
Phone (215) 469-0220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309132800000",
"number": "1245354075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 W OREGON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 W OREGON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191454926",
"telephone_number": "215-469-0220",
"fax_number": "215-551-0488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENTLE DENTAL OREGON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2011-06-27",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "INSURANCE DIRECTOR",
"authorized_official_telephone_number": "727-726-1611"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.