Active NPI
Elegance in Dentistry
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1679094148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ELEGANCE IN DENTISTRY
- Practice address
- 1 Winding Dr
Philadelphia, PA 19131-2907 - Phone
- (215) 883-0611
- Fax
- (267) 713-7371
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kellyn Hodges, DMD
- Title
- Doctor
- Phone
- (610) 617-0700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1 Winding Dr
Philadelphia, PA 19131-2907
Mailing address
1 Belmont Ave Ste 414
Bala Cynwyd, PA 19004-1607
Phone (610) 617-0700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bensalem, PA
- NPI 1194874156
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bala Cynwyd, PA
- NPI 1952802720
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cherry Hill, NJ
- NPI 1235873431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1679094148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BELMONT AVE STE 414",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041607",
"telephone_number": "610-617-0700",
"fax_number": "610-617-3443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WINDING DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191312907",
"telephone_number": "215-883-0611",
"fax_number": "267-713-7371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEGANCE IN DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "KELLYN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "610-617-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.