5TH Street Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

5TH STREET DENTAL

Practice address

2822 N 5TH St
Philadelphia, PA 19133-2712

Phone

(215) 333-6825

Fax

(215) 335-4340

NPI assigned

Aug 10, 2011

Last updated

Aug 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. P Trivedi

Title

Owner

Phone

(215) 333-6825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1598044471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332712",
            "telephone_number": "215-333-6825",
            "fax_number": "215-335-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191332712",
            "telephone_number": "215-333-6825",
            "fax_number": "215-335-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5TH STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-333-6825",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.