Individual provider Active NPI

Twisha S Padodara, DMD

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1316834005
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS045131 Issued in PA
Practice address
1528 Walnut St Ste 1704
Philadelphia, PA 19102-3612
Phone
(215) 546-0707
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045131 PA
Dentist 122300000X DS045131 PA Primary

Addresses

Primary practice location

1528 Walnut St Ste 1704
Philadelphia, PA 19102-3612

Mailing address

2863 Lee Dr
Jamison, PA 18929-1047
Phone (908) 386-6140

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
DS045131PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbeam Walnut Dental PC General Practice CurrentSince Nov 24, 2025 Accepting new patients

Locations

1528 Walnut St
Ste 1704
Philadelphia, PA 19102
Phone (215) 546-0707

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1316834005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 LEE DR",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291047",
            "telephone_number": "908-386-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST STE 1704",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023612",
            "telephone_number": "215-546-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADODARA",
        "first_name": "TWISHA",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045131",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045131",
            "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 Jun 29, 2025; 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.