Active NPI
Hai Qing, DMD
- Prosthodontics
- Jenkintown, PA
National Provider Identifier
1639486541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS041063
- Practice address
- 1250 Greenwood Ave Ste 10
Jenkintown, PA 19046-2900 - Phone
- (267) 217-3218
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS041063 | PA | Primary |
Addresses
Primary practice location
1250 Greenwood Ave Ste 10
Jenkintown, PA 19046-2900
Mailing address
1564 Derry Dr
Dresher, PA 19025-1212
Phone (585) 201-2420
Other practice location 1
3223 N Broad St
Philadelphia, PA 19140-5007
Phone (585) 201-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041063 | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1639486541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1564 DERRY DR",
"city": "DRESHER",
"state": "PA",
"postal_code": "190251212",
"telephone_number": "585-201-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 GREENWOOD AVE STE 10",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190462900",
"telephone_number": "267-217-3218"
}
],
"practiceLocations": [
{
"address_1": "3223 N Broad St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191405007",
"country_code": "US",
"telephone_number": "585-201-2420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QING",
"first_name": "HAI",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS041063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.