Individual provider Active NPI

Nadia Anwari Afzal, DMD

  • Dentist
  • Fountain Hill, PA
National Provider Identifier
1386705200
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037169 Issued in PA
Practice address
1424 Broadway
Fountain Hill, PA 18015-4025
Phone
(610) 867-4461
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037169 PA Primary

Addresses

Primary practice location

1424 Broadway
Fountain Hill, PA 18015-4025

Mailing address

1424 Broadway
Fountain Hill, PA 18015-4025
Phone (610) 867-4461

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
DS037169PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Tongue Tie & Sleep Wellness Center Current Accepting new patients
Valley Tongue Tie and Sleep Wellness Center PLLC Current Accepting new patients

Locations

1424 Broadway
Fountain Hill, PA 18015
Phone (610) 867-4461

Organizations & group practices 2

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1386705200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BROADWAY",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154025",
            "telephone_number": "610-867-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BROADWAY",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154025",
            "telephone_number": "610-867-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "NADIA",
        "middle_name": "ANWARI",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.