NPIMap

Organization Active NPI

Infinity Dental Management LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairless Hills, PA
National Provider Identifier
1700130630
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS018685L Issued in PA
Legal business name
INFINITY DENTAL MANAGEMENT LLC
Doing business as
My Orthodontist
Practice address
532 S Oxford Valley Rd
Fairless Hills, PA 19030-2615
Phone
(215) 946-0800
Fax
(215) 946-1041
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Lisa A Rader
Title
Insurance Manager
Phone
(215) 750-2254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS018685L PA Primary

Addresses

Primary practice location

532 S Oxford Valley Rd
Fairless Hills, PA 19030-2615

Mailing address

532 S Oxford Valley Rd
Fairless Hills, PA 19030-2615
Phone (215) 946-0800

Other names 1

  • My Orthodontist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Infinity Dental Management LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1700130630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302615",
            "telephone_number": "215-946-0800",
            "fax_number": "215-946-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 S OXFORD VALLEY RD",
            "city": "FAIRLESS HILLS",
            "state": "PA",
            "postal_code": "190302615",
            "telephone_number": "215-946-0800",
            "fax_number": "215-946-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "215-750-2254"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS018685L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairless Hills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.