Individual provider Active NPI

Harold Saul Baumgarten, D.M.D.

  • Prosthodontics
  • Philadelphia, PA
National Provider Identifier
1619096526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS020057L Issued in PA
Practice address
100 S Broad St
Suite 2000
Philadelphia, PA 19110-1023
Phone
(215) 568-8130
Fax
(215) 568-4538
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS020057L PA Primary

Addresses

Primary practice location

100 S Broad St
Suite 2000
Philadelphia, PA 19110-1023

Mailing address

100 S Broad St
Suite 2000
Philadelphia, PA 19110-1023
Phone (215) 568-8130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208001591 PA Order and Referring Only - DentistPractitioner - Dentist 9931420064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amsterdam, Weisgold, Baumgarten, Ingber, & Fraiman Prosthodontics PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619096526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST",
            "address_2": "SUITE 2000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101023",
            "telephone_number": "215-568-8130",
            "fax_number": "215-568-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST",
            "address_2": "SUITE 2000",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101023",
            "telephone_number": "215-568-8130",
            "fax_number": "215-568-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARTEN",
        "first_name": "HAROLD",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS020057L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.