Active NPI
Corey Moletsky, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Upper Chichester, PA
National Provider Identifier
1497585970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS044462
- Practice address
- 5000 Chichester Ave
Upper Chichester, PA 19014-2333 - Phone
- (610) 485-1991
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS044462 | PA | Primary |
Addresses
Primary practice location
5000 Chichester Ave
Upper Chichester, PA 19014-2333
Mailing address
317 N Broad St Apt 505
Philadelphia, PA 19107-1016
Phone (570) 878-9800
Other practice location 1
227 Dryden Rd E
Dresher, PA 19025-1015
Phone (267) 607-3050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS044462 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Care Associates | Past | Accepting new patients | |
| PA Orthodontics, Ppllc | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preferred Provider Organization
- Aston, PA
- NPI 1750409892
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dresher, PA
- NPI 1558084129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1497585970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 N BROAD ST APT 505",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071016",
"telephone_number": "570-878-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CHICHESTER AVE",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190142333",
"telephone_number": "610-485-1991"
}
],
"practiceLocations": [
{
"address_1": "227 Dryden Rd E",
"address_purpose": "LOCATION",
"city": "Dresher",
"state": "PA",
"postal_code": "190251015",
"country_code": "US",
"telephone_number": "267-607-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLETSKY",
"first_name": "COREY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS044462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Chichester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.