NPIMap

Organization Active NPI

Dentam Inc

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1356513949
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS028941L Issued in PA
Legal business name
DENTAM INC
Practice address
2471 Napfle St # C
Philadelphia, PA 19152-3855
Phone
(215) 332-6666
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Aleksandr V Melekhin, DDS
Title
President
Phone
(215) 332-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS028941L PA Primary

Addresses

Primary practice location

2471 Napfle St # C
Philadelphia, PA 19152-3855

Mailing address

2471 Napfle St # C
Philadelphia, PA 19152-3855
Phone (215) 332-6666

Other identifiers 1

IdentifierTypeStateIssuer
01475741MedicaidPA

National Provider Directory

National Provider Directory

Locations

2471 Napfle St
#C
Philadelphia, PA 19152
Phone (215) 332-6666

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1356513949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 NAPFLE ST # C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523855",
            "telephone_number": "215-332-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 NAPFLE ST # C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523855",
            "telephone_number": "215-332-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "MELEKHIN",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-332-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS028941L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01475741",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "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 Mar 24, 2008; 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.