Chadds Ford Dental Village

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020611L Issued in PA

Legal business name

CHADDS FORD DENTAL VILLAGE

Practice address

98 Route 202 at PA de Line
Chadds Ford, PA 19317

Phone

(610) 459-4915

Fax

(610) 459-9752

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Siad Hussien Mohamed-Ali, DDS

Title

Owner

Phone

(610) 459-4915

Specialties & licenses 1

Addresses

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.

• Fairly Thomas, DMD

  • General Practice Dentistry
  • Chadds Ford, PA
  • NPI 1134296056
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467529511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 ROUTE 202 AT PA DE LINE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "610-459-4915",
            "fax_number": "610-459-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 ROUTE 202 AT PA DE LINE",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "610-459-4915",
            "fax_number": "610-459-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHADDS FORD DENTAL VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMED-ALI",
        "authorized_official_first_name": "SIAD",
        "authorized_official_middle_name": "HUSSIEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-459-4915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020611L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centre for Cosmetic Dentistry
• Cesca Family Chiropractic Ctr, Inc.
• James A Cesca, D.C.
• Chadds Ford Alternacare, Inc. (Criticare)
• Chadds Ford Ambulatory Surgical Center, LLC
• Chadds Ford Dermatology, PC
• Chadds Ford-Appaloosa PLLC
• Children's Dental Health Associates
• Chiropractic Associates of PA (State Line Chiropractic Center)
• CHN Homecare LLC

• General Practice Dentistry in Chadds Ford, PA
• Providers in Chadds Ford, 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.