NPIMap

Organization Active NPI

Pennsbury Childrens Dental Health

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Langhorne, PA
National Provider Identifier
1740320308
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PENNSBURY CHILDRENS DENTAL HEALTH
Practice address
400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Phone
(215) 750-1717
Fax
(215) 750-6109
NPI assigned
Feb 6, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Russel T Bechtloff, DDSNPI 1205972197
Title
Owner
Phone
(215) 750-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310

Mailing address

400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Phone (215) 750-1717

National Provider Directory

National Provider Directory
Tax ID family
Pennsbury Childrens Dental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1740320308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BUCKSTOWN RD",
            "address_2": "SUITE 1C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478310",
            "telephone_number": "215-750-1717",
            "fax_number": "215-750-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BUCKSTOWN RD",
            "address_2": "SUITE 1C",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478310",
            "telephone_number": "215-750-1717",
            "fax_number": "215-750-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSBURY CHILDRENS DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BECHTLOFF",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-750-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.