Organization Active NPI

Dynamic Dental Care, LLC

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1336812445
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DYNAMIC DENTAL CARE, LLC
Practice address
141 E Emaus Ave
Allentown, PA 18103-5824
Phone
(213) 446-5662
NPI assigned
Jul 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Bhaumik Kanani
Title
Menager
Phone
(213) 446-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

141 E Emaus Ave
Allentown, PA 18103-5824

Mailing address

6507 Hickory Rd
Macungie, PA 18062-8739
Phone (610) 849-2042

National Provider Directory

National Provider Directory

Locations

141 E Emaus Ave
Allentown, PA 18103
Phone (610) 365-3266

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1336812445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 HICKORY RD",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628739",
            "telephone_number": "610-849-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 E EMAUS AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035824",
            "telephone_number": "213-446-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "BHAUMIK",
        "authorized_official_title_or_position": "MENAGER",
        "authorized_official_telephone_number": "213-446-5662"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.