Individual provider Active NPI

Meghan Harley, DMD

  • Endodontics
  • Philadelphia, PA
National Provider Identifier
1578091542
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS042913 Issued in PA
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

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DS042913PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Carl L Tinkleman DMD PC PastSince Oct 13, 2024 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.

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

Verify at the official NPI Registry.