Active NPI
Quaker City Dental
- Dental Clinic/Center
- Philadelphia, PA
National Provider Identifier
1396269528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- QUAKER CITY DENTAL
- Practice address
- 1015 Chestnut St Ste 1117
Philadelphia, PA 19107-4334 - Phone
- (215) 923-3999
- NPI assigned
- Jul 30, 2017
- Last updated
- Jul 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek Conover, DMD
- Title
- Owner/Member
- Phone
- (215) 567-0521
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1015 Chestnut St Ste 1117
Philadelphia, PA 19107-4334
Mailing address
1015 Chestnut St Ste 1117
Philadelphia, PA 19107-4334
National Provider Directory
National Provider DirectoryLocations
1015 Chestnut St
Ste 1117
Philadelphia, PA 19107
Phone (215) 923-3999
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1245547603
-
- Dentist
- Philadelphia, PA
- NPI 1497067052
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1972715225
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1174039739
-
- General Practice Dentistry
- Mullica Hill, NJ
- NPI 1992087068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501372800000",
"number": "1396269528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 CHESTNUT ST STE 1117",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074334",
"telephone_number": "215-923-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUAKER CITY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-30",
"last_updated": "2017-07-30",
"status": "A",
"authorized_official_last_name": "CONOVER",
"authorized_official_first_name": "DEREK",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "215-567-0521",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- QRX Pharmacy and Healthcare Supplies Inc (QRx Pharmacy)
- Eric Thai-Binh Quach, M.D.
- Marian Hornung Quaglia, PA-C
- Alison Quaile, P.A.-C
- Christine Quake, MD
- Quality Care (Quility Care)
- Quality Care Coordination LLC
- Quality Care for You Home Care, LLC
- Quality Caring Hearts Homecare LLC (Quality Caring Heart Homecare LLC)
- Quality Community Health Care, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.