Penn Smile Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PENN SMILE CARE PC

Practice address

6421 Bustleton Ave
Philadelphia, PA 19149-2905

Phone

(215) 535-0874

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Nirav Suresh Patel, DDS

Title

Dentist

Phone

(215) 588-4224

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marshall KL Binns, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1720656507
  NPD
• Michael Craig Meshkov, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1417011479
  NPD (past)
• Tanvi Shyamsundar Pangam

  • General Practice Dentistry
  • Drexel Hill, PA
  • NPI 1548190804
  NPD (past)
• Janine Suzanne Reed, DDS

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1326103094
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1750069340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492905",
            "telephone_number": "215-535-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492905",
            "telephone_number": "215-535-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN SMILE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "SURESH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-588-4224",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penn Neuromuscular Diagnostics, LLC (PNDx)
• Penn Presbyterian Medical Center
• Penn Presbyterian Medical Center
• Penn Presbyterian Medical Center of the University of Pennsylvania Hea (Penn Presbyterian Apothecary)
• Penn Presbyterian Medical Center of the University of Pennsylvania Hea (Penn Medicine University City Apothecary)
• Penn Staffing Services LLC
• Penn Valley Anesthesia (Penn Valley Anesthesia Providers)
• Lola Penn-Ellington
• Penn-Jersey Integrated Human Services Inc
• Penn-Presbyterian Apothecary

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.