Individual provider Active NPI

Tauseef Mutwahir, DMD

  • General Practice Dentistry
  • Spring House, PA
National Provider Identifier
1740632561
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 040829 Issued in PA
Practice address
909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011
Phone
(215) 643-5220
Fax
(215) 643-3575
NPI assigned
Jul 5, 2016
Last updated
Dec 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS 040829 PA Primary

Addresses

Primary practice location

909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011

Mailing address

909 Sumneytown Pike
Suite 101
Spring House, PA 19477-1011
Phone (215) 643-5220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205001642 PA Practitioner - General Practice 6901163708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DS 040829PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Silvana Cumani DMD and Associates PC General Practice CurrentSince Aug 15, 2017 Accepting new patients
Hoorfar Dental Group Spring House LLC Past Accepting new patients
Neosmile Dental Care PC General Practice Past Accepting new patients

Locations

2675 E Cumberland St
Philadelphia, PA 19125
Phone (215) 426-7307

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1740632561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SUMNEYTOWN PIKE",
            "address_2": "SUITE 101",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194771011",
            "telephone_number": "215-643-5220",
            "fax_number": "215-643-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SUMNEYTOWN PIKE",
            "address_2": "SUITE 101",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194771011",
            "telephone_number": "215-643-5220",
            "fax_number": "215-643-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTWAHIR",
        "first_name": "TAUSEEF",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS 040829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring House, PA

Sources for this page

Verify at the official NPI Registry.