Organization Active NPI

Hi Tech Dental Group KVZ LLC

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1598228637
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HI TECH DENTAL GROUP KVZ LLC
Doing business as
Hi Tech Dental Group KVZ LLC
Practice address
1005 Green LN
Levittown, PA 19057-3103
Phone
(215) 915-0505
Fax
(267) 585-3341
NPI assigned
Apr 6, 2019
Last updated
Apr 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Authorized official

Name
Zhafar Badalov, DMDNPI 1952821415
Title
Owner/Dentist
Phone
(215) 520-0797

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 Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1005 Green LN
Levittown, PA 19057-3103

Mailing address

1005 Green LN
Levittown, PA 19057-3103
Phone (215) 915-0505

Other identifiers 1

IdentifierTypeStateIssuer
DS041406OtherPAGENERAL DENTISTRY

Other names 1

  • HI TECH DENTAL GROUP KVZ LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1005 Green Ln
Levittown, PA 19057
Phone (215) 915-0505

Practitioners & affiliated clinicians

Practitioners 1

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": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554508800000",
    "number": "1598228637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 GREEN LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573103",
            "telephone_number": "215-915-0505",
            "fax_number": "267-585-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GREEN LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190573103",
            "telephone_number": "215-915-0505",
            "fax_number": "267-585-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI TECH DENTAL GROUP KVZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A",
        "authorized_official_last_name": "BADALOV",
        "authorized_official_first_name": "ZHAFAR",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "215-520-0797",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTISTRY",
            "identifier": "DS041406",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HI TECH DENTAL GROUP KVZ LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.