Organization Active NPI

Dr.Subha Family Dentistry

  • General Practice Dentistry
  • Wescosville, PA
National Provider Identifier
1457865511
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038052 Issued in PA
Legal business name
DR.SUBHA FAMILY DENTISTRY
Practice address
5940 Hamilton Blvd
Wescosville, PA 18106-9648
Phone
(610) 530-1777
Fax
(610) 530-8777
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Subhashini Pamulapati, DDSNPI 1043547581
Title
Owner/Dentist
Phone
(610) 530-1777

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS038052 PA Primary

Addresses

Primary practice location

5940 Hamilton Blvd
Wescosville, PA 18106-9648

Mailing address

5940 Hamilton Blvd
Wescosville, PA 18106-9648
Phone (610) 530-1777

Other identifiers 1

IdentifierTypeStateIssuer
102405691MedicaidPA

National Provider Directory

National Provider Directory

Locations

5940 Hamilton Blvd
Wescosville, PA 18106
Phone (610) 398-8141

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": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1457865511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 HAMILTON BLVD",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069648",
            "telephone_number": "610-530-1777",
            "fax_number": "610-530-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 HAMILTON BLVD",
            "city": "WESCOSVILLE",
            "state": "PA",
            "postal_code": "181069648",
            "telephone_number": "610-530-1777",
            "fax_number": "610-530-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SUBHA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PAMULAPATI",
        "authorized_official_first_name": "SUBHASHINI",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "610-530-1777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102405691",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wescosville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.