Pimd Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DS027302L Issued in PA

Legal business name

PIMD DENTAL

Practice address

7130 Rising Sun Ave
Philadelphia, PA 19111-3957

Phone

(786) 319-2474

NPI assigned

Sep 17, 2015

Organization subpart

Yes

Parent organization

PENN INTEGRATIVE MEDICAL & DENTAL CENTER INC.As reported in NPPES

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

Authorized official

Name

Mr. Chenet P. Larose, DENTIST

Title

Dentist

Phone

(786) 319-2474

Specialties & licenses 1

Addresses

Other names 1

• PIMD Doing business as

Part of

Pimd Dental

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Penn Integrative Medical and Dental Center, Inc.

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1952640187
  NPPES parent name

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1326417551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113957",
            "telephone_number": "786-319-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIMD DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN INTEGRATIVE MEDICAL & DENTAL CENTER INC.",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "CHENET",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-319-2474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027302L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Polly Pillen, LPC
• Rian John Pillitteri, M.D.
• Pillpack LLC
• Jillian Pilotti, CRNP
• Pim Associates PC
• Ved Sanjiv Pimple
• Marc Pimsleur, MD
• Ileana L Pina, MD, MPH
• Robert Seth Pinches, DO
• Betty Pinckney

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.