Organization Active NPI

Geetha Srinivasan DMD LLC

  • General Practice Dentistry
  • Trappe, PA
National Provider Identifier
1285878058
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036819 Issued in PA
Legal business name
GEETHA SRINIVASAN DMD LLC
Practice address
16 E 1St Ave
Trappe, PA 19426-2065
Phone
(610) 489-9005
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Geetha Srinivasan, D.M.D.NPI 1427179811
Title
Member
Phone
(610) 566-5522

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS036819 PA Primary

Addresses

Primary practice location

16 E 1St Ave
Trappe, PA 19426-2065

Mailing address

501 Chaumortt Drive
Villanova, PA 19085
Phone (610) 489-9005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1285878058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHAUMORTT DRIVE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "19085",
            "telephone_number": "610-489-9005",
            "fax_number": "610-489-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 1ST AVE",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194262065",
            "telephone_number": "610-489-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA SRINIVASAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SRINIVASAN",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-566-5522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trappe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.