Mitchell E. Kaltz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-025559-L Issued in PA

Practice address

413 W Germantown Pike
East Norriton, PA 19403-4229

Phone

(610) 272-9105

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619184413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RED MAPLE CT",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189144412",
            "telephone_number": "215-822-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "194034229",
            "telephone_number": "610-272-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTZ",
        "first_name": "MITCHELL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-025559-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson University Radiology Associates, LLC (Jefferson Outpatient Imaging)
• Jeffersonville Family and Geriatric Medicine, LLC
• Polly Elizabeth Jenkins
• Abbi Johns, MD
• Mercy Johnson, RPH
• Joanne Mary Kaminski, PSY.D.
• Sondrea Karlin, MOT OTR/L
• James Craig Keenan
• Allison Keidat, LCSW
• Hasina Khan, MD

• General Practice Dentistry in East Norriton, PA
• Providers in East Norriton, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.