NPIMap

Organization Active NPI

Media Lima Dental Associates LLC

  • General Practice Dentistry
  • Media, PA
National Provider Identifier
1558405688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 035185 Issued in PA
Legal business name
MEDIA LIMA DENTAL ASSOCIATES LLC
Practice address
6 Oriole Ave
Media, PA 19063-4515
Phone
(610) 892-9280
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David P SungNPI 1538204193
Title
Owner
Phone
(610) 892-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS 035185 PA Primary

Addresses

Primary practice location

6 Oriole Ave
Media, PA 19063-4515

Mailing address

6 Oriole Ave
Media, PA 19063-4515

National Provider Directory

National Provider Directory

Locations

6 Oriole Ave
Media, PA 19063
Phone (610) 679-6109

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558405688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ORIOLE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ORIOLE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634515",
            "telephone_number": "610-892-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA LIMA DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-892-9280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 035185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.