NPIMap

Organization Active NPI

Ae Associated Endodontists, P.C

  • Endodontics
  • Bala Cynwyd, PA
National Provider Identifier
1366568404
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS028139L Issued in PA
Legal business name
AE ASSOCIATED ENDODONTISTS, P.C
Practice address
1 Belmont Ave Ste 316
Bala Cynwyd, PA 19004-1604
Phone
(215) 477-8941
Fax
(215) 477-8943
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Christine Shaw
Title
Director of Revenue Cycle
Phone
(781) 562-0457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DS028139L PA Primary

Addresses

Primary practice location

1 Belmont Ave Ste 316
Bala Cynwyd, PA 19004-1604

Mailing address

500 Chapman St FL 1
Canton, MA 02021-2093
Phone (781) 562-0457

National Provider Directory

National Provider Directory

Locations

500 Chapman St
Fl 1
Canton, MA 02021

1 Belmont Ave
Ste 316
Bala Cynwyd, PA 19004
Phone (215) 477-8941

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1366568404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHAPMAN ST FL 1",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020212093",
            "telephone_number": "781-562-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BELMONT AVE STE 316",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041604",
            "telephone_number": "215-477-8941",
            "fax_number": "215-477-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE ASSOCIATED ENDODONTISTS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "781-562-0457"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS028139L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.