Organization Active NPI

Isdaner-Oberman, D.D.S., P.C.

  • General Practice Dentistry
  • Willow Grove, PA
National Provider Identifier
1558543504
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ISDANER-OBERMAN, D.D.S., P.C.
Practice address
801 Easton Rd
Willow Grove, PA 19090-2024
Phone
(215) 659-3334
NPI assigned
Dec 2, 2007
Last updated
Dec 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Authorized official

Name
Dr. Barry D Isdaner, D.D.S.NPI 1932308723
Title
Dentist/Owner
Phone
(215) 659-3334

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 Primary

Addresses

Primary practice location

801 Easton Rd
Willow Grove, PA 19090-2024

Mailing address

801 Easton Rd
Willow Grove, PA 19090-2024
Phone (215) 659-3334

National Provider Directory

National Provider Directory

Locations

801 Easton Rd
Willow Grove, PA 19090
Phone (215) 659-3334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196553600000",
    "number": "1558543504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902024",
            "telephone_number": "215-659-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EASTON RD",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902024",
            "telephone_number": "215-659-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISDANER-OBERMAN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2007-12-02",
        "status": "A",
        "authorized_official_last_name": "ISDANER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "215-659-3334",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2007; 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.