Organization Active NPI

Dexterhealth, LLC

  • General Practice Physician
  • Philadelphia, PA
National Provider Identifier
1356094163
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DEXTERHEALTH, LLC
Practice address
74 E Laurel St Apt 4
Philadelphia, PA 19123-1752
Phone
(814) 419-6863
Fax
(888) 267-1506
NPI assigned
Feb 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Godfred Eyiah-Mensah, M.D.
Title
Ceo
Phone
(814) 419-6863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

74 E Laurel St Apt 4
Philadelphia, PA 19123-1752

Mailing address

74 E Laurel St Apt 4
Philadelphia, PA 19123-1752
Phone (814) 419-6863

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dexterhealthcare@gmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1356094163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 E LAUREL ST APT 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231752",
            "telephone_number": "814-419-6863",
            "fax_number": "888-267-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E LAUREL ST APT 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231752",
            "telephone_number": "814-419-6863",
            "fax_number": "888-267-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTERHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "EYIAH-MENSAH",
        "authorized_official_first_name": "GODFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-419-6863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dexterhealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "74 E Laurel St Apt 4",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191231752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Feb 1, 2022; 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.