Collegeville Pediatric Dentistry P.C.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COLLEGEVILLE PEDIATRIC DENTISTRY P.C.

Practice address

555 Second Ave
Suite E202
Collegeville, PA 19426-3600

Phone

(610) 962-0193

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 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

Jane O'Brien

Title

Business Manager

Phone

(610) 962-0193

Specialties & licenses 1

Addresses

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.

• May O'Keeffe

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • King of Prussia, PA
  • NPI 1164915146
  NPD (past)

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1427599679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE",
            "address_2": "SUITE E202",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SECOND AVE",
            "address_2": "SUITE E202",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194263600",
            "telephone_number": "610-962-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGEVILLE PEDIATRIC DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "610-962-0193"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Cody, LMFT
• Coeo, LLC
• Collegeville Care RX Inc
• Collegeville Dental Associates PC
• Collegeville Dental Center
• Collegeville Pediatrics
• Collegeville Pharmacy Inc
• Collegeville Speech and Hearing, LLC
• Columbia Cottage - Collegeville, LLC
• Committed Companions Homecare LLC

• Pediatric Dentistry in Collegeville, PA
• Providers in Collegeville, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.