NPIMap

Organization Active NPI

Upper Darby Dentistry,

  • Dentist
  • Upper Darby, PA
National Provider Identifier
1730507963
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DSO35539 Issued in PA
Legal business name
UPPER DARBY DENTISTRY,
Practice address
653 Long LN
Upper Darby, PA 19082-5230
Phone
(610) 457-5671
Fax
(484) 461-7666
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Dinesh S Tewari, DMD
Title
Dentist
Phone
(610) 457-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DSO35539 PA Primary

Addresses

Primary practice location

653 Long LN
Upper Darby, PA 19082-5230

Mailing address

653 Long LN
Upper Darby, PA 19082-5230
Phone (610) 457-5671

Other names 1

  • Center for Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

653 Long Ln
Upper Darby, PA 19082
Phone (610) 457-5671

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1730507963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 LONG LN",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825230",
            "telephone_number": "610-457-5671",
            "fax_number": "484-461-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 LONG LN",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825230",
            "telephone_number": "610-457-5671",
            "fax_number": "484-461-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER DARBY DENTISTRY,",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "TEWARI",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "610-457-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO35539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upper Darby, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.