Organization Active NPI

D.R. Dental LLC

  • Dentist
  • Willow Grove, PA
National Provider Identifier
1356768832
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037860 Issued in PA
Legal business name
D.R. DENTAL LLC
Practice address
519 Davisville Rd
Suite 200
Willow Grove, PA 19090-1525
Phone
(215) 659-1245
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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

Authorized official

Name
Dr. David Peter Recigno, DMDNPI 1487881132
Title
President
Phone
(267) 481-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS037860 PA Primary

Addresses

Primary practice location

519 Davisville Rd
Suite 200
Willow Grove, PA 19090-1525

Mailing address

PO Box 1303
Willow Grove, PA 19090-5403
Phone (267) 481-1717

National Provider Directory

National Provider Directory

Locations

519 Davisville Rd
Ste 200
Willow Grove, PA 19090
Phone (215) 659-1245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1356768832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190905403",
            "telephone_number": "267-481-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 DAVISVILLE RD",
            "address_2": "SUITE 200",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901525",
            "telephone_number": "215-659-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.R. DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "RECIGNO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-481-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.