Organization Active NPI

Michael I. Alharir DDS PC

Doing business as Passyunk Dental Group

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1346764214
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MICHAEL I. ALHARIR DDS PC
Doing business as
Passyunk Dental Group
Practice address
1507 W Passyunk Ave
Philadelphia, PA 19145-3029
Phone
(215) 372-0060
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Dr. Michael Imad Alharir, DDS
Title
President
Phone
(901) 319-0222

Specialties & licenses 1

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

Addresses

Primary practice location

1507 W Passyunk Ave
Philadelphia, PA 19145-3029

Mailing address

1507 W Passyunk Ave
Philadelphia, PA 19145-3029

Other practice location 1

1507 W Passyunk Ave
Philadelphia, PA 19145-3029
Phone (215) 372-0060

Other identifiers 1

IdentifierTypeStateIssuer
1063893071MedicaidPA

Other names 1

  • Passyunk Dental Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1346764214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453029",
            "telephone_number": "215-372-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 W Passyunk Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191453029",
            "country_code": "US",
            "telephone_number": "215-372-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL I. ALHARIR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "ALHARIR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "IMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-319-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063893071",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passyunk Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.