Organization Active NPI

Dagp Partners PC

Doing business as Dental Arts Group South Philadelphia

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1245996511
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAGP PARTNERS PC
Doing business as
Dental Arts Group South Philadelphia
Practice address
1517 Packer Ave
Philadelphia, PA 19145-4910
Phone
(215) 462-2424
Fax
(215) 271-2915
NPI assigned
Nov 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Rafaela Nedelea
Title
Regional Director
Phone
(267) 334-0082

Specialties & licenses 1

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

Addresses

Primary practice location

1517 Packer Ave
Philadelphia, PA 19145-4910

Mailing address

1517 Packer Ave
Philadelphia, PA 19145-4910
Phone (215) 462-2424

Other names 1

  • Dental Arts Group South Philadelphia Doing business as

National Provider Directory

National Provider Directory

Locations

1517 Packer Ave
Philadelphia, PA 19145
Phone (215) 462-2424

Practitioners & affiliated clinicians

Practitioners 3

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": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1245996511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454910",
            "telephone_number": "215-462-2424",
            "fax_number": "215-271-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 PACKER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454910",
            "telephone_number": "215-462-2424",
            "fax_number": "215-271-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGP PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "NEDELEA",
        "authorized_official_first_name": "RAFAELA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "267-334-0082"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Arts Group South Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 11, 2021; 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.