Organization Active NPI

Leon a. Wertheimer, D.D.S.

  • General Practice Dentistry
  • Merion Station, PA
National Provider Identifier
1508192006
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS019271-L Issued in PA
Legal business name
LEON A. WERTHEIMER, D.D.S.
Practice address
352 Montgomery Ave
Merion Station, PA 19066-1202
Phone
(610) 668-0606
Fax
(610) 668-8427
NPI assigned
Oct 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Dr. Leon A Wertheimer, D.D.S.
Title
Owner
Phone
(610) 668-0606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS019271-L PA Primary

Addresses

Primary practice location

352 Montgomery Ave
Merion Station, PA 19066-1202

Mailing address

352 Montgomery Ave
Merion Station, PA 19066-1202
Phone (610) 668-0606

Other names 1

  • Main Line Dental Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1508192006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MONTGOMERY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661202",
            "telephone_number": "610-668-0606",
            "fax_number": "610-668-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MONTGOMERY AVE",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661202",
            "telephone_number": "610-668-0606",
            "fax_number": "610-668-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON A. WERTHEIMER, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "WERTHEIMER",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-668-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019271-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Line Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merion Station, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.