Active NPI
Saleh Rajaeian
- Endodontics
- Bala Cynwyd, PA
National Provider Identifier
1609215896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS039471
- Practice address
- 191 Presidential Blvd
Suite 128
Bala Cynwyd, PA 19004-1207 - Phone
- (610) 668-2442
- Fax
- (610) 668-3924
- NPI assigned
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS039471 | PA | Primary |
Addresses
Primary practice location
191 Presidential Blvd
Suite 128
Bala Cynwyd, PA 19004-1207
Mailing address
191 Presidential Blvd
Suite 128
Bala Cynwyd, PA 19004-1207
Phone (610) 668-2442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039471 | PA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1609215896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD",
"address_2": "SUITE 128",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041207",
"telephone_number": "610-668-2442",
"fax_number": "610-668-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 PRESIDENTIAL BLVD",
"address_2": "SUITE 128",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041207",
"telephone_number": "610-668-2442",
"fax_number": "610-668-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAEIAN",
"first_name": "SALEH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-20",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS039471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.