Organization Active NPI

Universal Creighton Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1740531748
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
UNIVERSAL CREIGHTON CHARTER SCHOOL
Practice address
5401 Tabor Ave
Philadelphia, PA 19120-2130
Phone
(215) 537-2531
NPI assigned
Oct 1, 2012
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Shahied Dawan
Title
Cfo
Phone
(215) 732-6518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

5401 Tabor Ave
Philadelphia, PA 19120-2130

Mailing address

800 S 15TH St
Philadelphia, PA 19146-2105
Phone (215) 732-6518

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1740531748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S 15TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462105",
            "telephone_number": "215-732-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 TABOR AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202130",
            "telephone_number": "215-537-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL CREIGHTON CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "DAWAN",
        "authorized_official_first_name": "SHAHIED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-732-6518"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 1, 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.