Individual provider Active NPI

Vasanthi Haribabu, DDS

  • General Practice Dentistry
  • Langhorne, PA
National Provider Identifier
1326208919
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037461 Issued in PA
Practice address
404 Middletown Blvd
Suite # 300
Langhorne, PA 19047-1897
Phone
(215) 757-4400
Fax
(215) 757-6405
NPI assigned
Jun 17, 2008
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS037461 PA Primary

Addresses

Primary practice location

404 Middletown Blvd
Suite # 300
Langhorne, PA 19047-1897

Mailing address

401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714
Phone (267) 460-4254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160520000705 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325337975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037461PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A-1 Family Dental Care, PC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1326208919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "267-460-4254",
            "fax_number": "215-646-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MIDDLETOWN BLVD",
            "address_2": "SUITE # 300",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471897",
            "telephone_number": "215-757-4400",
            "fax_number": "215-757-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARIBABU",
        "first_name": "VASANTHI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.