Organization Active NPI

KWH Dental Assoc. P.C.

  • General Practice Dentistry
  • Langhorne, PA
National Provider Identifier
1619091196
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS017625L Issued in PA
Legal business name
KWH DENTAL ASSOC. P.C.
Practice address
680 Middletown Blvd
Suite 201
Langhorne, PA 19047-1817
Phone
(215) 757-1574
Fax
(215) 757-4909
NPI assigned
Mar 19, 2007
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Jeffrey Kanner, D.D.S.
Title
Treasurer
Phone
(215) 757-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS017625L PA Primary

Addresses

Primary practice location

680 Middletown Blvd
Suite 201
Langhorne, PA 19047-1817

Mailing address

680 Middletown Blvd
Suite 201
Langhorne, PA 19047-1817
Phone (215) 757-1574

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1619091196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MIDDLETOWN BLVD",
            "address_2": "SUITE 201",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471817",
            "telephone_number": "215-757-1574",
            "fax_number": "215-757-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MIDDLETOWN BLVD",
            "address_2": "SUITE 201",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471817",
            "telephone_number": "215-757-1574",
            "fax_number": "215-757-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KWH DENTAL ASSOC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KANNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "215-757-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017625L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.