Organization Active NPI

Asd Dental PC Dba Amazing Smiles by Design

  • Dentist
  • Bensalem, PA
National Provider Identifier
1629927603
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASD DENTAL PC DBA AMAZING SMILES BY DESIGN
Practice address
3101 Bristol Rd Ste 1
Bensalem, PA 19020-2168
Phone
(215) 639-5331
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mr. Kishan Davara
Title
Owner
Phone
(215) 559-1289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3101 Bristol Rd Ste 1
Bensalem, PA 19020-2168

Mailing address

3101 Bristol Rd Ste 1
Bensalem, PA 19020-2168
Phone (215) 639-5331

National Provider Directory

National Provider Directory

Locations

3101 Bristol Rd
Ste 1
Bensalem, PA 19020
Phone (215) 752-4514

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1629927603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD STE 1",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-639-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BRISTOL RD STE 1",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202168",
            "telephone_number": "215-639-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASD DENTAL PC DBA AMAZING SMILES BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVARA",
        "authorized_official_first_name": "KISHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-559-1289",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.