Active NPI
William D. Mestichelli D.D.S., P.C.
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1619368933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS022834L
- Legal business name
- WILLIAM D. MESTICHELLI D.D.S., P.C.
- Practice address
- 1903 S Broad St
Philadelphia, PA 19148-2216 - Phone
- (215) 334-2000
- Fax
- (215) 755-7333
- NPI assigned
- Feb 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Mestichelli, D.D.S.
- Title
- Owner
- Phone
- (215) 334-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS022834L | PA | Primary |
Addresses
Primary practice location
1903 S Broad St
Philadelphia, PA 19148-2216
Mailing address
1903 S Broad St
Philadelphia, PA 19148-2216
Phone (215) 334-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423440000000",
"number": "1619368933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482216",
"telephone_number": "215-334-2000",
"fax_number": "215-755-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 S BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191482216",
"telephone_number": "215-334-2000",
"fax_number": "215-755-7333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM D. MESTICHELLI D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-09",
"last_updated": "2015-02-09",
"status": "A",
"authorized_official_last_name": "MESTICHELLI",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-334-2000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS022834L",
"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 Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.