Isaac S Pike IV, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029838L Issued in PA

Practice address

202 N Monroe St
Media, PA 19063-2908

Phone

(610) 565-3963

Fax

(610) 565-1967

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669569844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ANNESLEY DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421355",
            "telephone_number": "484-840-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632908",
            "telephone_number": "610-565-3963",
            "fax_number": "610-565-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "ISAAC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029838L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Elizabeth Pharamond, CNM RN
• Heather Phelps, LPC
• Philadelphia Hand Surgeon PLLC
• Rose Philippe, RBT
• Rebekah Phillips, LPS
• Megan Pilarz, RBT
• Pinnacle Dental PC
• Pinwheels Developmental and Therapeutic Services
• Adriana Piscitelli, OTR/L
• Planned Parenthood Southeastern Pennsylvania

• General Practice Dentistry in Media, PA
• Providers in Media, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.