Active NPI
Zahnarzt Dental PC
- Dental Clinic/Center
- Philadelphia, PA
National Provider Identifier
1508306408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DS037576
- Legal business name
- ZAHNARZT DENTAL PC
- Practice address
- 11621 Bustleton Ave
Philadelphia, PA 19116-2513 - Phone
- (215) 673-8887
- Fax
- (215) 673-9680
- NPI assigned
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene J Gross, DDS
- Title
- Owner
- Phone
- (215) 673-8887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DS037576 | PA | Primary |
Addresses
Primary practice location
11621 Bustleton Ave
Philadelphia, PA 19116-2513
Mailing address
11621 Bustleton Ave
Philadelphia, PA 19116-2513
Phone (215) 673-8887
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1841920550
-
- General Practice Dentistry
- Overland Park, KS
- NPI 1598325342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1508306408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11621 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162513",
"telephone_number": "215-673-8887",
"fax_number": "215-673-9680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11621 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191162513",
"telephone_number": "215-673-8887",
"fax_number": "215-673-9680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZAHNARZT DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "GROSS",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-673-8887",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PA",
"license": "DS037576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.