NPIMap

Organization Active NPI

Elena M Kofman DMD PC

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1487884516
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS29460L Issued in PA
Legal business name
ELENA M KOFMAN DMD PC
Practice address
1599 Paoli Pike
West Chester, PA 19380-6113
Phone
(610) 692-1808
Fax
(610) 692-0509
NPI assigned
Jul 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Elena M Kofman, DMDNPI 1942317045
Title
Owner/Dentist
Phone
(610) 692-1808

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS29460L PA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS035176 PA
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DS036330 PA

Addresses

Primary practice location

1599 Paoli Pike
West Chester, PA 19380-6113

Mailing address

1599 Paoli Pike
West Chester, PA 19380-6113
Phone (610) 692-1808

Other identifiers 1

IdentifierTypeStateIssuer
134197OtherPAUNITED CONCORDIA

Other names 1

  • Family Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1599 Paoli Pike
West Chester, PA 19380
Phone (610) 692-1808

Practitioners & affiliated clinicians

Practitioners 2

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": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1487884516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806113",
            "telephone_number": "610-692-1808",
            "fax_number": "610-692-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806113",
            "telephone_number": "610-692-1808",
            "fax_number": "610-692-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA M KOFMAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "KOFMAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "610-692-1808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS29460L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035176",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS036330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "134197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.