Active NPI
Judith McFadden
- Dentist
- Philadelphia, PA
National Provider Identifier
1679584411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS022832L
- Legal business name
- JUDITH MCFADDEN
- Practice address
- 3386 Memphis Street
Philadelphia, PA 19134 - Phone
- (215) 739-3100
- Fax
- (215) 739-6528
- NPI assigned
- Aug 10, 2006
- 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. Judith Ann McFadden, DMD
- Title
- Owner Practitioner
- Phone
- (215) 739-3100
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS022832L | PA | Primary |
Addresses
Primary practice location
3386 Memphis Street
Philadelphia, PA 19134
Mailing address
3386 Memphis Street
Philadelphia, PA 19134
Phone (215) 739-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE544034 | Other | PA | PA BLUE SHIELD |
Other names 1
- Dental Health Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Philadelphia, PA
- NPI 1265815849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381190400000",
"number": "1679584411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3386 MEMPHIS STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-739-3100",
"fax_number": "215-739-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3386 MEMPHIS STREET",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19134",
"telephone_number": "215-739-3100",
"fax_number": "215-739-6528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH MCFADDEN",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2013-10-08",
"status": "A",
"authorized_official_last_name": "MCFADDEN",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER PRACTITIONER",
"authorized_official_telephone_number": "215-739-3100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS022832L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "DE544034",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.