Individual provider Active NPI

Dilara Brittany Altuner, DMD

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1447951546
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS043944 Issued in PA
Practice address
6140A Woodland Ave
Philadelphia, PA 19142-3224
Phone
(215) 724-6666
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS043944 PA Primary

Addresses

Primary practice location

6140A Woodland Ave
Philadelphia, PA 19142-3224

Mailing address

110 Jericho Rd
Lake Como, PA 18437-1018

Other practice location 1

2926 Conestoga Rd
Glenmoore, PA 19343-9516
Phone (484) 558-8123

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

LicenseStateTypeSpecialty
DS043944PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenmoore Family Dentistry Dentist PastSince Oct 24, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1447951546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JERICHO RD",
            "city": "LAKE COMO",
            "state": "PA",
            "postal_code": "184371018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140A WOODLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423224",
            "telephone_number": "215-724-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2926 Conestoga Rd",
            "address_purpose": "LOCATION",
            "city": "Glenmoore",
            "state": "PA",
            "postal_code": "193439516",
            "country_code": "US",
            "telephone_number": "484-558-8123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTUNER",
        "first_name": "DILARA",
        "middle_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS043944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.