Quakertown Perio-Implant, Inc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

QUAKERTOWN PERIO-IMPLANT, INC

Practice address

1402 W Broad St
Quakertown, PA 18951-1110

Phone

(215) 536-7705

Fax

(215) 536-7740

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Donna Lee Endy, DMD

Title

President

Phone

(215) 536-7705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1578994521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-536-7705",
            "fax_number": "215-536-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W BROAD ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511110",
            "telephone_number": "215-536-7705",
            "fax_number": "215-536-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAKERTOWN PERIO-IMPLANT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "ENDY",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-536-7705",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quakertown Internal Medicine Associates
• Quakertown Internal Medicine Associates, Inc.
• Quakertown Orthopaedic Associates
• Quakertown Pain & Rehab Center
• Quakertown Pediatric Associates PC
• Quakertown Periodontal Associates
• Quakertown Rehabilitation Center
• Quakertown Wellness Center
• Farooq A Qureshi, MD
• Scott Keith Rader III, CRNP

• Periodontics in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.