Porter Hall Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS040208 Issued in PA

Legal business name

PORTER HALL DENTAL, LLC

Practice address

826 W Porter St
Philadelphia, PA 19148-3744

Phone

(312) 320-1908

NPI assigned

Feb 8, 2016

Last updated

Mar 7, 2017By 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. Allen GengNPI 1568759330

Title

Manager

Phone

(312) 320-1908

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.

• Allen Geng, DMD

  • General Practice Dentistry
  • Chesterbrook, PA
  • NPI 1568759330
  Authorized official Same address or phone

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1407214257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MEETINGHOUSE POND",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875514",
            "telephone_number": "312-320-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W PORTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191483744",
            "telephone_number": "312-320-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HALL DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "GENG",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-320-1908",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS040208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamar Judith Port, MSS
• Allison Marie Porta
• Portal Psychotherapy, LLC
• Barry L Porten, D.D.S.
• Mary K Porteous, MD
• Sophia Tanesha Porter-Brown
• Alexis Porter, DO
• Catherine Melissa Porter, DO
• Charrell S Porter, PHARM.D.
• Claire Porter, MD

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.