Individual provider Active NPI

Valerie Malcolm, DMD

  • Dentist
  • Sharon Hill, PA
National Provider Identifier
1386323996
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044096 Issued in PA
Practice address
907 Chester Pike
Sharon Hill, PA 19079-1411
Phone
(610) 583-1177
NPI assigned
Jul 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044096 PA Primary

Addresses

Primary practice location

907 Chester Pike
Sharon Hill, PA 19079-1411

Mailing address

417 Belgrade St
Philadelphia, PA 19125-2622
Phone (267) 818-0170

Other practice location 1

4750 Township Line Rd Fl 2
Drexel Hill, PA 19026-4221
Phone (610) 449-7002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044096PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry I. Cohen, D.M.D. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1386323996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BELGRADE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252622",
            "telephone_number": "267-818-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 CHESTER PIKE",
            "city": "SHARON HILL",
            "state": "PA",
            "postal_code": "190791411",
            "telephone_number": "610-583-1177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Township Line Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Drexel Hill",
            "state": "PA",
            "postal_code": "190264221",
            "country_code": "US",
            "telephone_number": "610-449-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "VALERIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.