Active NPI
Jasim Albandar, D.M.D., PH.D.
- Periodontics
- East Norriton, PA
National Provider Identifier
1306011754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS036389
- Practice address
- 472 E Germantown Pike
East Norriton, PA 19401-6506 - Phone
- (610) 277-7110
- Fax
- (610) 277-7160
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS036389 | PA | Primary |
Addresses
Primary practice location
472 E Germantown Pike
East Norriton, PA 19401-6506
Mailing address
472 E Germantown Pike
East Norriton, PA 19401-6506
Phone (610) 277-7110
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS036389 | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mona Albandar Dental Associates Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- East Norriton, PA
- NPI 1629245386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1306011754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 E GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194016506",
"telephone_number": "610-277-7110",
"fax_number": "610-277-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 E GERMANTOWN PIKE",
"city": "EAST NORRITON",
"state": "PA",
"postal_code": "194016506",
"telephone_number": "610-277-7110",
"fax_number": "610-277-7160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANDAR",
"first_name": "JASIM",
"name_prefix": "Dr.",
"credential": "D.M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS036389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Norriton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.