Direct Mobile Dental Services, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DIRECT MOBILE DENTAL SERVICES, INC.

Practice address

141 Montgomery Ave FL 2
Bala Cynwyd, PA 19004-2827

Phone

(610) 960-8905

Fax

(610) 667-4374

NPI assigned

Feb 21, 2020

Organization subpart

Yes

Parent organization

DIRECT MOBILE DENTAL SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Dr. Steven Melman, DMD

Title

President

Phone

(610) 664-7795

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bright Smiles 4 Kids of Bala Doing business as

Electronic endpoints 1

Tax ID family

Direct Mobile Dental Services Inc3 organizations share this tax ID, including this one

Part of

Direct Mobile Dental Services Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Direct Mobile Dental Services, Inc.

  • Dental Clinic/Center
  • Bala Cynwyd, PA
  • NPI 1437724762
  NPD tax ID
• Direct Mobile Dental Services, Inc.

  • General Practice Dentistry
  • Bala Cynwyd, PA
  • NPI 1699809954
  NPD tax ID

Locations

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1669005237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2205",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190046205",
            "telephone_number": "610-960-8905",
            "fax_number": "610-667-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MONTGOMERY AVE FL 2",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042827",
            "telephone_number": "610-960-8905",
            "fax_number": "610-667-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MOBILE DENTAL SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT MOBILE DENTAL SERVICES, INC.",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MELMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-664-7795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034415850003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "smelman@dmdental.net",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "141 Montgomery Ave Fl 2",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190042827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright Smiles 4 Kids of Bala",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dignacare Homecare LLC
• Brian Thomas Diksa, DPT
• Ronesha Dillard
• Carmen N Dimario, D.O.
• Direct Mobile Dental Services, Inc.
• Direct Mobile Dental Services, Inc.
• Kristina Disanto, R.D., L.D.N.
• Discover Dermatology Institute, LLC
• Dma, PC
• Bonnie Brice Dorwart, M.D.

• Pediatric Dentistry in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.