Rachel J. Mallya, D.M.D., P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026140-L Issued in PA

Legal business name

RACHEL J. MALLYA, D.M.D., P.C

Practice address

27 Garrett Rd
Upper Darby, PA 19082-2302

Phone

(610) 352-7766

Fax

(610) 352-6626

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Jacob Mallya, D.M.DNPI 1497794838

Title

President

Phone

(610) 352-7766

Specialties & licenses 1

Addresses

Locations

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.

• Rachel Jacob Mallya, DMD

  • Dentist
  • Upper Darby, PA
  • NPI 1497794838
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366651176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822302",
            "telephone_number": "610-352-7766",
            "fax_number": "610-352-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GARRETT RD",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822302",
            "telephone_number": "610-352-7766",
            "fax_number": "610-352-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHEL J. MALLYA, D.M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLYA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-352-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026140-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.