Everest Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037258 Issued in PA

Legal business name

EVEREST DENTAL LLC

Practice address

9892 Bustleton Ave
Suite 302
Philadelphia, PA 19115-2184

Phone

(215) 671-0188

Fax

(215) 671-0277

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Wolodymyr Zin, DDSNPI 1194902411

Title

Owner

Phone

(215) 671-0188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wolodymyr Zin, D.D.S

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1194902411
  NPD (past) Authorized official

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1336376185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-671-0188",
            "fax_number": "215-671-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9892 BUSTLETON AVE",
            "address_2": "SUITE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152184",
            "telephone_number": "215-671-0188",
            "fax_number": "215-671-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "ZIN",
        "authorized_official_first_name": "WOLODYMYR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-671-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Evelyn, RN
• Dori Even-Shoshan, LCSW
• Ever Better Speech Pathology, LLC
• Ever Upward Counseling LLC
• Everest Ambulance LLC
• Caroline Carson Everett
• Geoffrey Everett, MD
• Julie Lynn Everett
• Mariah Everett
• Mia Everett, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, 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 Jun 19, 2009; 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.