Organization Active NPI

Orchid Dental PLLC

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1629790381
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORCHID DENTAL PLLC
Practice address
5058 City Ave
Philadelphia, PA 19131-1441
Phone
(610) 664-1641
Fax
(484) 930-0058
NPI assigned
Sep 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Dr. Ranti Aryani, DDSNPI 1235298472
Title
Owner
Phone
(610) 664-1641

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5058 City Ave
Philadelphia, PA 19131-1441

Mailing address

5058 City Ave
Philadelphia, PA 19131-1441
Phone (610) 664-1641

Other practice location 1

3930 Knowles Ave Ste 300
Kensington, MD 20895-2428
Phone (240) 550-1442

Other names 1

  • PRESIDENTIAL DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

3930 Knowles Ave
Ste 300
Kensington, MD 20895
Phone (240) 550-1442

5058 City Line Ave
Philadelphia, PA 19131
Phone (215) 921-6369

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": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1629790381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311441",
            "telephone_number": "610-664-1641",
            "fax_number": "484-930-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311441",
            "telephone_number": "610-664-1641",
            "fax_number": "484-930-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3930 Knowles Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "208952428",
            "country_code": "US",
            "telephone_number": "240-550-1442",
            "fax_number": "484-930-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORCHID DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "ARYANI",
        "authorized_official_first_name": "RANTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-664-1641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESIDENTIAL DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2022; 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.