Pennsylvania Center for Dental Implants and Periodontics, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS022257L Issued in PA

Legal business name

PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC

Practice address

9880 Bustleton Ave
Suite 211-212
Philadelphia, PA 19115-2185

Phone

(215) 677-8686

Fax

(215) 677-7212

NPI assigned

Feb 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Tami Vishio

Title

Office Manager

Phone

(215) 677-8686

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A Levine, DDS, PC

  • Periodontics
  • Philadelphia, PA
  • NPI 1144306275
  NPD (past)

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1356700835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE",
            "address_2": "SUITE 211-212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152185",
            "telephone_number": "215-677-8686",
            "fax_number": "215-677-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 BUSTLETON AVE",
            "address_2": "SUITE 211-212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191152185",
            "telephone_number": "215-677-8686",
            "fax_number": "215-677-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA CENTER FOR DENTAL IMPLANTS AND PERIODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "VISHIO",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-677-8686",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS022257L",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS039673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennstate Home Care Services
• Pennsylvania Anesthesia Professionals PLLC
• Pennsylvania Cardiology Associates, LTD.
• Pennsylvania Care Foundation
• Pennsylvania Center for Dental Implants and Periodontics
• Pennsylvania Centre for Dermatology, LLC
• Pennsylvania Centre for Plastic Surgery, PC
• Pennsylvania College of Optometry
• Pennsylvania Community Helpers
• Pennsylvania CVS Pharmacy LLC

• Periodontics in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.