Organization Active NPI

Mainline Dental Arts

  • Periodontics
  • Narberth, PA
National Provider Identifier
1326867623
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
MAINLINE DENTAL ARTS
Practice address
110 N Essex Ave
Narberth, PA 19072-2206
Phone
(610) 664-9510
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Dr. Nirav Patel, DDS
Title
Owner
Phone
(619) 890-2195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

110 N Essex Ave
Narberth, PA 19072-2206

Mailing address

110 N Essex Ave
Narberth, PA 19072-2206
Phone (610) 664-9510

National Provider Directory

National Provider Directory

Locations

110 N Essex Ave
Narberth, PA 19072
Phone (215) 906-8914

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1326867623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N ESSEX AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722206",
            "telephone_number": "610-664-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ESSEX AVE",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722206",
            "telephone_number": "610-664-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLINE DENTAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-890-2195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.