Organization Active NPI

Dental Innovations Jay Dubin DMD LLC

  • General Practice Dentistry
  • North Wales, PA
National Provider Identifier
1407987704
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036701 Issued in PA
Legal business name
DENTAL INNOVATIONS JAY DUBIN DMD LLC
Practice address
1364 Welsh Rd
Suite F1
North Wales, PA 19454-1913
Phone
(215) 646-3040
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Jay Dubin, DMDNPI 1558469270
Title
Dentist
Phone
(215) 646-3040

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS036701 PA Primary

Addresses

Primary practice location

1364 Welsh Rd
Suite F1
North Wales, PA 19454-1913

Mailing address

1364 Welsh Rd
Suite F1
North Wales, PA 19454-1913
Phone (215) 646-3040

Other names 1

  • Dr Jay Dubin Doing business as

National Provider Directory

National Provider Directory

Locations

1364 Welsh Rd
Ste F1
North Wales, PA 19454
Phone (215) 646-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1407987704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WELSH RD",
            "address_2": "SUITE F1",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541913",
            "telephone_number": "215-646-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WELSH RD",
            "address_2": "SUITE F1",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541913",
            "telephone_number": "215-646-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL INNOVATIONS JAY DUBIN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-646-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jay Dubin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.