Individual provider Active NPI

Devin L Parambo

  • Pediatric Dentistry
  • Allentown, PA
National Provider Identifier
1245737907
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS042547 Issued in PA
Practice address
3057 College Heights Blvd
Allentown, PA 18104-4875
Phone
(610) 433-2357
NPI assigned
Apr 10, 2018
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS042547 PA
Pediatric Dentistry 1223P0221X DS042547 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3057 College Heights Blvd
Allentown, PA 18104-4875

Mailing address

357 S Gulph Rd Ste 100
King of Prussia, PA 19406-3174

Other practice location 1

357 S Gulph Rd Ste 100
King Of Prussia, PA 19406-3174
Phone (610) 337-2325

Other practice location 2

2299 Brodhead Rd Ste C-1
Bethlehem, PA 18020-8908
Phone (610) 954-5400

Other practice location 3

St Christopher's Hospital for Children Peds Residency
160 E Erie Avenue
Philadelphia, PA 19134-1101
Phone (215) 427-6862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS042547PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Merion Dental Associates P C PastSince Feb 16, 2020 Accepting new patients
Hugh J Odonnell Jr DDS PC Pediatric Dentistry Pediatric Dentistry PastSince Jun 28, 2020 Accepting new patients
Upper Merion Periodontal Associates PastSince Feb 16, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1245737907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 COLLEGE HEIGHTS BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044875",
            "telephone_number": "610-433-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 S Gulph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194063174",
            "country_code": "US",
            "telephone_number": "610-337-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2299 Brodhead Rd Ste C-1",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180208908",
            "country_code": "US",
            "telephone_number": "610-954-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "St Christopher's Hospital for Children Peds Residency",
            "address_2": "160 E Erie Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191341101",
            "country_code": "US",
            "telephone_number": "215-427-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARAMBO",
        "first_name": "DEVIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042547",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042547",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.