Outside Bones PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OUTSIDE BONES PC

Practice address

1300 Macdade Blvd Unit 5
Woodlyn, PA 19094-1500

Phone

(608) 697-3087

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Jordan Klinkner

Title

Owner

Phone

(608) 697-3087

Specialties & licenses 1

Addresses

Other names 1

• Complete Care Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sapna Srivastava

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1396148490
  NPD

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1326684606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 EMERICK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252612",
            "telephone_number": "917-523-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MACDADE BLVD UNIT 5",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190941500",
            "telephone_number": "608-697-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE BONES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "KLINKNER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-697-3087"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Care Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward J Manderfield
• Tara Marie McKenna, PHARMD
• Neil Dhillon DMD PC
• Candace Nguyen, M.D.
• Patience Osuagwu
• Pauline E Pappas, M.C.A.T.
• Jaimini Patel
• Lesly Paul
• Radhik
• Radhik

• General Practice Dentistry in Woodlyn, PA
• Providers in Woodlyn, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.