Organization Active NPI

Judith McFadden

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1679584411
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS022832L Issued in PA
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

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Judith Ann McFadden, DMDNPI 1265815849
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DE544034OtherPAPA BLUE SHIELD

Other names 1

  • Dental Health Center Doing business as

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.