North Penn Periodontal Associates

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DSO16352 Issued in PA

Legal business name

NORTH PENN PERIODONTAL ASSOCIATES

Practice address

2100 N Broad St
Ste. #204
Lansdale, PA 19446-1052

Phone

(215) 368-5110

Fax

(215) 368-2017

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By 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

Ms. Elsa Williams

Title

Office Manager

Phone

(215) 368-5110

Specialties & licenses 2

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.

• Lawrence M. Butler, DDS

  • Periodontics
  • Phoenixville, PA
  • NPI 1336232248
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407948326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE. #204",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-5110",
            "fax_number": "215-368-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE. #204",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-5110",
            "fax_number": "215-368-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PENN PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-368-5110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DSO16352",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DSO16258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Penn Family Chiropractic LLC
• North Penn Family Medical Associates LLC
• North Penn Orthopaedic Associates
• North Penn Pediatric Dental Associates
• North Penn Pediatrics,PC
• North Penn Physical Therapy, LLC
• North Penn Podiatry LLC
• North Penn Podiatry LLC
• North Penn School District
• North Penn Surgical Associates

• Periodontics in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.