Active NPI
Cindy Kirylik
- Dental Therapist
- Upper Chichester, PA
National Provider Identifier
1639566524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Therapist
- License
- DF004345
- Practice address
- 5000 Chichester Ave
Upper Chichester, PA 19014-2333 - Phone
- (610) 485-1991
- NPI assigned
- Apr 19, 2015
- Last updated
- Apr 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | |||
| Dental Therapist | 125J00000X | DF004345 | PA | Primary |
Addresses
Primary practice location
5000 Chichester Ave
Upper Chichester, PA 19014-2333
Mailing address
5000 Chichester Ave
Upper Chichester, PA 19014-2333
Phone (610) 485-1991
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 |
|---|---|---|---|
| DF004345 | PA | MD | Dental Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Health Care Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Preferred Provider Organization
- Aston, PA
- NPI 1750409892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429401600000",
"number": "1639566524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 CHICHESTER AVE",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190142333",
"telephone_number": "610-485-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 CHICHESTER AVE",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190142333",
"telephone_number": "610-485-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRYLIK",
"first_name": "CINDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-19",
"last_updated": "2015-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "125J00000X",
"taxonomy_group": "",
"desc": "Dental Therapist",
"state": "PA",
"license": "DF004345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Chichester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.