Individual provider Active NPI

Simona Lekht, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
National Provider Identifier
1639530090
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS042720 Issued in PA
Practice address
10101 Academy Rd FL 2
Philadelphia, PA 19114-1120
Phone
(215) 637-5800
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02625600 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02625600 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS042720 PA Primary

Addresses

Primary practice location

10101 Academy Rd FL 2
Philadelphia, PA 19114-1120

Mailing address

10101 Academy Rd FL 2
Philadelphia, PA 19114-1120

Other practice location 1

847 Easton Rd Ste 2600
Warrington, PA 18976-2907
Phone (215) 770-1950

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

LicenseStateTypeSpecialty
22DI02625600NJMDOrthodontics and Dentofacial Orthopedic Dentist
DS042720PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Denistry Group PastSince Jan 5, 2025 Accepting new patients
Diamond Braces Edison Orthodontics and Dentofacial Orthopedics PastSince Apr 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1639530090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-637-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 Easton Rd Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Warrington",
            "state": "PA",
            "postal_code": "189762907",
            "country_code": "US",
            "telephone_number": "215-770-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEKHT",
        "first_name": "SIMONA",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02625600",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02625600",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS042720",
            "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 Jan 2, 2025; 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.