James Dvorchak DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022504L Issued in PA

Legal business name

JAMES DVORCHAK DDS PC

Practice address

1614 E Upsal St
Philadelphia, PA 19150-1426

Phone

(215) 276-9090

Fax

(215) 276-8105

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James David Dvorchak, DDSNPI 1194873398

Title

Owner

Phone

(215) 276-9090

Specialties & licenses 1

Addresses

Other names 1

• Ogontz Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James David Dvorchak, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1194873398
  NPD (past) Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467500660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 E UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501426",
            "telephone_number": "215-276-9090",
            "fax_number": "215-276-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 E UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501426",
            "telephone_number": "215-276-9090",
            "fax_number": "215-276-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES DVORCHAK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DVORCHAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-276-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022504L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ogontz Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohammad Jalloul
• Alasan Jallow
• Jan Warren Piencenaves Jalosjos, PA-C
• Faisal Jamal
• Isabella Jamer, DPM
• James F McGuckin MD of Ny PC
• James K Joseph LCSW, LLC
• James L. Tweedy D.O. & Associates P.C.
• James Nathaniel
• James R. Filippo, OD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.