Organization Active NPI

Nusquare Dental

  • General Practice Dentistry
  • Newtown Square, PA
National Provider Identifier
1669349361
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NUSQUARE DENTAL
Practice address
218 S Newtown Street Rd
Newtown Square, PA 19073-4000
Phone
(215) 200-5165
Fax
(610) 375-6923
NPI assigned
Oct 20, 2025
Organization subpart
Yes
Parent organization
LUMINA DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Dr. Neelima Pitchika, DDSNPI 1427473248
Title
Dentist
Phone
(215) 200-5165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

218 S Newtown Street Rd
Newtown Square, PA 19073-4000

Mailing address

111 Parkview Way
Newtown Square, PA 19073-2254
Phone (215) 200-5165

National Provider Directory

National Provider Directory
Part of
Nusquare Dental

Locations

218 S Newtown Street Rd
Newtown Square, PA 19073
Phone (215) 200-5165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1669349361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARKVIEW WAY",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732254",
            "telephone_number": "215-200-5165",
            "fax_number": "610-375-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S NEWTOWN STREET RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734000",
            "telephone_number": "215-200-5165",
            "fax_number": "610-375-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSQUARE DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUMINA DENTAL PLLC",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "PITCHIKA",
        "authorized_official_first_name": "NEELIMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-200-5165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.