NPIMap

Organization Active NPI

Prince Ofosu-Mensah, DMD, PC.

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1457525214
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRINCE OFOSU-MENSAH, DMD, PC.
Practice address
1619 Grant Ave
Suite 23
Philadelphia, PA 19115-3167
Phone
(215) 673-4940
NPI assigned
Apr 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Prince Ofosu-Mensah, DMD
Title
President
Phone
(215) 673-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1619 Grant Ave
Suite 23
Philadelphia, PA 19115-3167

Mailing address

4216 Loring St
Philadelphia, PA 19136-3917

National Provider Directory

National Provider Directory

Locations

1619 Grant Ave
Ste 23
Philadelphia, PA 19115
Phone (215) 673-4940

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1457525214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 LORING ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191363917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 GRANT AVE",
            "address_2": "SUITE 23",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153167",
            "telephone_number": "215-673-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE OFOSU-MENSAH, DMD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "OFOSU-MENSAH",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-673-4940",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Apr 14, 2008; 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.