Jenkintown Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JENKINTOWN ENDODONTICS, LLC

Practice address

509 York Rd
Jenkintown, PA 19046-2102

Phone

(267) 589-9636

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By 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. Alexander Fuller, DMDNPI 1508260274

Title

Part Owner/ Endodontist

Phone

(267) 255-0759

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Alexander Fuller, D.M.D.

  • Endodontics
  • Jenkintown, PA
  • NPI 1508260274
  NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1386118958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462102",
            "telephone_number": "267-589-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 YORK RD",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462102",
            "telephone_number": "267-589-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINTOWN ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PART OWNER/ ENDODONTIST",
        "authorized_official_telephone_number": "267-255-0759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508260274",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Jelesiewicz, C.R.N.P.
• Sharon Rose Jenkins
• Jenkintown Chiropractic Center, Inc.
• Jenkintown Dental Excellence
• Jenkintown Dental Pavilion LLC
• Jenkintown Family Practice PC
• Jenkintown Hearing Aid Center Inc.
• Jenkintown Pharmacy
• Jenkintown Preventative Care PC
• Jenkintown Psychological Associates

• Endodontics in Jenkintown, PA
• Providers in Jenkintown, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.