Active NPI
Vinodkumar H Mandalia, DDS
- Dentist
- Feasterville, PA
National Provider Identifier
1427047281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS02610-L
- Practice address
- 826 Bustleton Pike
Suite 105
Feasterville, PA 19053-6064 - Phone
- (215) 357-5666
- Fax
- (215) 357-0353
- NPI assigned
- Oct 14, 2005
- Last updated
- Jan 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS02610-L | PA | Primary |
Addresses
Primary practice location
826 Bustleton Pike
Suite 105
Feasterville, PA 19053-6064
Mailing address
826 Bustleton Pike
Suite 105
Feasterville, PA 19053-6064
Phone (215) 357-5666
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS02610-L | PA | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Feasterville Trevose, PA
- NPI 1225201569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1427047281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 BUSTLETON PIKE",
"address_2": "SUITE 105",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "190536064",
"telephone_number": "215-357-5666",
"fax_number": "215-357-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 BUSTLETON PIKE",
"address_2": "SUITE 105",
"city": "FEASTERVILLE",
"state": "PA",
"postal_code": "190536064",
"telephone_number": "215-357-5666",
"fax_number": "215-357-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDALIA",
"first_name": "VINODKUMAR",
"middle_name": "H",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS02610-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Feasterville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.