Individual provider Active NPI

Louis Price Tarnoff, D.M.D.

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1427209840
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021557L Issued in PA
Practice address
3223 N Broad St
Temple Dental School, Restorative Dept.
Philadelphia, PA 19140-5007
Phone
(215) 707-7731
NPI assigned
Oct 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS021557L PA Primary

Addresses

Primary practice location

3223 N Broad St
Temple Dental School, Restorative Dept.
Philadelphia, PA 19140-5007

Mailing address

3223 N Broad St
Temple Dental School, Restorative Dept.
Philadelphia, PA 19140-5007
Phone (215) 707-7731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701000935 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0749592988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1427209840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "address_2": "TEMPLE DENTAL SCHOOL, RESTORATIVE DEPT.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST",
            "address_2": "TEMPLE DENTAL SCHOOL, RESTORATIVE DEPT.",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNOFF",
        "first_name": "LOUIS",
        "middle_name": "PRICE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021557L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.