NPIMap

Organization Active NPI

Direct Mobile Dental Services, Inc.

Doing business as Bright Smiles 4 Kids of Bala

  • Pediatric Dentistry
  • Bala Cynwyd, PA
National Provider Identifier
1669005237
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DIRECT MOBILE DENTAL SERVICES, INC.
Doing business as
Bright Smiles 4 Kids of Bala
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
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DIRECT MOBILE DENTAL SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dr. Steven Melman, DMDNPI 1336273036
Title
President
Phone
(610) 664-7795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

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

Mailing address

PO Box 2205
Bala Cynwyd, PA 19004-6205
Phone (610) 960-8905

Other names 1

  • Bright Smiles 4 Kids of Bala Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL smelman@dmdental.net

National Provider Directory

National Provider Directory
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.

Locations

141 Montgomery Ave
Fl 2
Bala Cynwyd, PA 19004
Phone (610) 960-8905

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": "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": [],
    "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"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • 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.