NPIMap

Organization Active NPI

Oscar Goren DMD PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1619186038
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 19920 L Issued in PA
Legal business name
OSCAR GOREN DMD PC
Practice address
2412 Rhawn St
Philadelphia, PA 19152-3324
Phone
(215) 332-5259
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Dr. Oscar Goren, DMDNPI 1750360442
Title
President
Phone
(215) 332-5259

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS 19920 L PA Primary

Addresses

Primary practice location

2412 Rhawn St
Philadelphia, PA 19152-3324

Mailing address

2412 Rhawn St
Philadelphia, PA 19152-3324
Phone (215) 332-5259

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1619186038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523324",
            "telephone_number": "215-332-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 RHAWN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523324",
            "telephone_number": "215-332-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR GOREN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "GOREN",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-332-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 19920 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.