Essam Kamal Taha, DMD MS

Primary specialty

DentistTaxonomy code 122300000X

License

DS029161L Issued in PA

Practice address

871 Baltimore Pike
Regency Plaza Suite 21
Glen Mills, PA 19342

Phone

(610) 558-3505

Fax

(610) 558-3575

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497875397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 BALTIMORE PIKE",
            "address_2": "REGENCY PLAZA SUITE 21",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-558-3505",
            "fax_number": "610-558-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 BALTIMORE PIKE",
            "address_2": "REGENCY PLAZA SUITE 21",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-558-3505",
            "fax_number": "610-558-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "ESSAM",
        "middle_name": "KAMAL",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029161L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Rae Strauss, APN
• Jessica Sucharski, CRNP
• Raheela Sultan, M.D.
• Olayemi Victoria Swindell, O.D.
• Kelsey Alyssa Szalejko, PHARM.D.
• Sharla Taliaferro, MA
• Tara Healthcare Solutions, Inc
• Jacqueline Tate
• Sharon Jessica Tatum, PT, DPT, MPT
• Arindia Taylor, LMFT

• Dentist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.