NPIMap

Organization Active NPI

Prosthodontics Intermedica

  • Prosthodontics
  • Fort Washington, PA
National Provider Identifier
1285634816
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS017634L Issued in PA
Legal business name
PROSTHODONTICS INTERMEDICA
Practice address
467 Pennsylvania Ave
Suite 201
Fort Washington, PA 19034-3420
Phone
(215) 646-6334
Fax
(215) 643-1149
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas J Balshi, DDSNPI 1326108069
Title
Founder/President
Phone
(215) 646-6334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X DS017634L PA Primary

Addresses

Primary practice location

467 Pennsylvania Ave
Suite 201
Fort Washington, PA 19034-3420

Mailing address

467 Pennsylvania Ave
Suite 201
Fort Washington, PA 19034-3420
Phone (215) 646-6334

National Provider Directory

National Provider Directory

Locations

467 Pennsylvania Ave
Ste 201
Ft Washington, PA 19034
Phone (215) 646-6334

Practitioners & affiliated clinicians

Practitioners 4

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285634816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-646-6334",
            "fax_number": "215-643-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-646-6334",
            "fax_number": "215-643-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTICS INTERMEDICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALSHI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "215-646-6334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS017634L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.