PA Orthodontics, Ppllc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PA ORTHODONTICS, PPLLC

Practice address

227 Dryden Rd E
Dresher, PA 19025-1015

Phone

(267) 607-3050

Fax

(888) 292-7017

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Oleg DrutNPI 1619987757

Title

Owner

Phone

(201) 308-8181

Specialties & licenses 1

Addresses

Other names 1

• Diamond Braces Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oleg Drut, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brooklyn, NY
  • NPI 1619987757

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official
• Corey Moletsky, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Upper Chichester, PA
  • NPI 1497585970

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1558084129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST STE 204",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312920",
            "telephone_number": "201-308-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 DRYDEN RD E",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251015",
            "telephone_number": "267-607-3050",
            "fax_number": "888-292-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA ORTHODONTICS, PPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "DRUT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-308-8181",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Notice, LMT
• Nurseplus, Inc.
• Bryan Nuss
• Ovation Center of Integrative Medicine Ubo
• Ovation Chiropractic & Wellness Center
• Donna Marie Papsun, R.D.
• Vanessa Peffall, FNP-C, CRNP
• Pennsylvania CVS Pharmacy LLC
• Personal Physical Therapy and Training LLC
• Christina Polin, M.S., P.T.

• All providers in Dresher, PA
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.