Organization Active NPI

Dentistry at 1818 Market Street

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1245364579
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTISTRY AT 1818 MARKET STREET
Practice address
1818 Market St
Suite 100
Philadelphia, PA 19103-3638
Phone
(215) 567-2666
Fax
(215) 561-6084
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Nicole Mosley
Title
Receptionist
Phone
(215) 567-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X PA Primary

Addresses

Primary practice location

1818 Market St
Suite 100
Philadelphia, PA 19103-3638

Mailing address

1818 Market St
Suite 100
Philadelphia, PA 19103-3638
Phone (215) 567-2666

National Provider Directory

National Provider Directory
Tax ID family
Dentistry at 1818 Market St2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1818 Market St
Lbby 100
Philadelphia, PA 19103
Phone (215) 567-2666

Practitioners & affiliated clinicians

Practitioners 5

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245364579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 MARKET ST",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033638",
            "telephone_number": "215-567-2666",
            "fax_number": "215-561-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 MARKET ST",
            "address_2": "SUITE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033638",
            "telephone_number": "215-567-2666",
            "fax_number": "215-561-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY AT 1818 MARKET STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "215-567-2666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "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 Jul 21, 2022; 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.