Organization Active NPI

Pediatric Dentistry of Lower Merion

  • Pediatric Dentistry
  • Ardmore, PA
National Provider Identifier
1316454150
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY OF LOWER MERION
Practice address
42 W Lancaster Ave Ste 100
Ardmore, PA 19003-1331
Phone
(610) 642-3417
NPI assigned
Jan 2, 2018
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. John Stephen Horchos, D.M.D.
Title
Pediatric Dentist
Phone
(267) 303-7289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

42 W Lancaster Ave Ste 100
Ardmore, PA 19003-1331

Mailing address

18 Highland Ave
Belmont Hills, PA 19004-1812
Phone (267) 303-7289

Other identifiers 1

IdentifierTypeStateIssuer
1225045974OtherINDIVIDUAL NPI#

National Provider Directory

National Provider Directory

Locations

42 W Lancaster Ave
Ste 100
Ardmore, PA 19003
Phone (610) 642-3417

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1316454150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HIGHLAND AVE",
            "city": "BELMONT HILLS",
            "state": "PA",
            "postal_code": "190041812",
            "telephone_number": "267-303-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W LANCASTER AVE STE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190031331",
            "telephone_number": "610-642-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF LOWER MERION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "HORCHOS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "267-303-7289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1225045974",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.