Active NPI
Meghan Harley, DMD
- Endodontics
- Philadelphia, PA
National Provider Identifier
1578091542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS042913
- Practice address
- 255 S 17TH St Ste 1806
Philadelphia, PA 19103-6218 - Phone
- (215) 735-1131
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Endodontics | 1223E0200X | DS042913 | PA | Primary |
Addresses
Primary practice location
255 S 17TH St Ste 1806
Philadelphia, PA 19103-6218
Mailing address
1601 Frankford Ave # 3
Philadelphia, PA 19125-4486
Phone (551) 404-2574
Other practice location 1
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4099
Other practice location 2
240 S 40th St
Philadelphia, PA 19104-6030
Phone (215) 898-8965
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 8, 2021 through Mar 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042913 | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carl L Tinkleman DMD PC | Past | Accepting new patients | |
| Endodontics Limited PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Philadelphia, PA
- NPI 1770592594
-
- Dentist
- Philadelphia, PA
- NPI 1932126950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1578091542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 FRANKFORD AVE # 3",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191254486",
"telephone_number": "551-404-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST STE 1806",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036218",
"telephone_number": "215-735-1131"
}
],
"practiceLocations": [
{
"address_1": "1200 Old York Rd",
"address_purpose": "LOCATION",
"city": "Abington",
"state": "PA",
"postal_code": "190013720",
"country_code": "US",
"telephone_number": "215-481-4099",
"fax_number": "215-481-4887",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 S 40th St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191046030",
"country_code": "US",
"telephone_number": "215-898-8965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARLEY",
"first_name": "MEGHAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS042913",
"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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.