Individual provider Active NPI

Svetlana Waibel

  • Dentist
  • Ambler, PA
National Provider Identifier
1538699202
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS041265 Issued in PA
Practice address
545 N Bethlehem Pike Ste 202
Ambler, PA 19002-2557
Phone
(267) 405-2727
NPI assigned
Jun 15, 2017
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS041265 PA Primary

Addresses

Primary practice location

545 N Bethlehem Pike Ste 202
Ambler, PA 19002-2557

Mailing address

33 Penn Manor CT
Fort Washington, PA 19034-4002
Phone (856) 325-9644

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

LicenseStateTypeSpecialty
DS041265PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Waibel Dental CurrentSince Oct 13, 2019 Accepting new patients
Dublin Woods Family Dentistry and Assoc Inc Dentist Past Accepting new patients

Locations

545 N Bethlehem Pike
Ste 202
Ambler, PA 19002
Phone (267) 405-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1538699202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PENN MANOR CT",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190344002",
            "telephone_number": "856-325-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N BETHLEHEM PIKE STE 202",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190022557",
            "telephone_number": "267-405-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIBEL",
        "first_name": "SVETLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.