Blue Bell Dental Assoc. PC

Key facts

NPI

1669686168

Entity type

Organization (NPI type 2)

Primary specialty

Dentist 122300000X

License

DS029728L (PA)

Legal business name

BLUE BELL DENTAL ASSOC. PC

Practice address

1515 Dekalb Pike Suite 111
Blue Bell, PA 19422-3367

Phone

(610) 278-0420

Fax

(610) 278-6938

NPI assigned

May 10, 2007

Organization subpart

No

Authorized official

Name

Mr. Jitesh V Boghara

Title

Owner

Phone

(610) 278-0420

Practitioners 2

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

• Ankit Vinod Karsalia, DMD Dentist · Blue Bell, PA · NPI 1588080105
  NPD (past) DENTIST
• Aida Pasalic, DMD Dentist · Blue Bell, PA · NPI 1902970718
  NPD (past) DENTIST

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2022.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1669686168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DEKALB PIKE SUITE 111",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "610-278-0420",
            "fax_number": "610-278-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DEKALB PIKE SUITE 111",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223367",
            "telephone_number": "610-278-0420",
            "fax_number": "610-278-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BELL DENTAL ASSOC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "BOGHARA",
        "authorized_official_first_name": "JITESH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-278-0420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029728L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. AIDA PASALIC",
            "identifier": "1902970718",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ANKIT KARSALIA",
            "identifier": "1588080105",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PADMA RAMAN",
            "identifier": "1407041429",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. DILIP DUDHAT",
            "identifier": "1124033774",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jay@bluebelldental.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1515 Dekalb Pike Ste 111",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194223367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Bell, PA

• Mark Lamont Bidwell, DMD
• Ira L Bilofsky, MSW
• Christie Marie Birchall, MA, CCTS-I
• Jeffrey Blatt, MD
• Blue Bell Counseling and Wellness LLC
• Blue Bell Endodontics & Dental Implants, LLC
• Blue Bell Eye Care & Surgery, P.C.
• Blue Bell Optique
• Blue Bell Psychiatry
• Blue Horizon Ventures LLC

All providers in Blue Bell, PA · Dentist in Pennsylvania