NPIMap

Organization Active NPI

Plymouth Meeting Family Dental

  • Dentist
  • Plymouth Meeting, PA
National Provider Identifier
1457405250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023810L Issued in PA
Legal business name
PLYMOUTH MEETING FAMILY DENTAL
Practice address
531 W Germantown Pike
Suite 104
Plymouth Meeting, PA 19462-1325
Phone
(610) 828-4100
Fax
(610) 828-4172
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard H. Nagelberg, DDSNPI 1134219991
Title
Owner
Phone
(610) 828-4100

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS023810L PA Primary

Addresses

Primary practice location

531 W Germantown Pike
Suite 104
Plymouth Meeting, PA 19462-1325

Mailing address

531 W Germantown Pike
Suite 104
Plymouth Meeting, PA 19462-1325
Phone (610) 828-4100

National Provider Directory

National Provider Directory

Locations

531 W Germantown Pike
Ste 104
Plymouth Mtng, PA 19462
Phone (610) 828-4100

Practitioners & affiliated clinicians

Practitioners 3

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457405250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE",
            "address_2": "SUITE 104",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-4100",
            "fax_number": "610-828-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W GERMANTOWN PIKE",
            "address_2": "SUITE 104",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621325",
            "telephone_number": "610-828-4100",
            "fax_number": "610-828-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH MEETING FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGELBERG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-828-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023810L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.