Individual provider Active NPI

Anu N Anusha Kareem, DMD

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1295934263
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037283 Issued in PA
Practice address
3601 Conshohocken Ave
Apt #343
Philadelphia, PA 19131-5343
Phone
(215) 966-1492
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037283 PA Primary

Addresses

Primary practice location

3601 Conshohocken Ave
Apt #343
Philadelphia, PA 19131-5343

Mailing address

3601 Conshohocken Ave
Apt #343
Philadelphia, PA 19131-5343
Phone (215) 966-1492

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
DS037283PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1295934263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CONSHOHOCKEN AVE",
            "address_2": "APT #343",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315343",
            "telephone_number": "215-966-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CONSHOHOCKEN AVE",
            "address_2": "APT #343",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315343",
            "telephone_number": "215-966-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAREEM",
        "first_name": "ANU N ANUSHA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037283",
            "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 11, 2007; 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.