Organization Active NPI

Parul Trivedi P.C.

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1750618799
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS036928 Issued in PA
Legal business name
PARUL TRIVEDI P.C.
Doing business as
ABDENTAL
Practice address
649 E Allegheny Ave
Philadelphia, PA 19134-2330
Phone
(215) 291-4200
Fax
(215) 291-4201
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Kimberly Bochinski
Title
Office Manager
Phone
(215) 333-6825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS036928 PA Primary

Addresses

Primary practice location

649 E Allegheny Ave
Philadelphia, PA 19134-2330

Mailing address

649 E Allegheny Ave
Philadelphia, PA 19134-2330
Phone (215) 291-4200

Other identifiers 1

IdentifierTypeStateIssuer
000909800MedicaidPA

Other names 1

  • ABDENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

649 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 291-4200

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1750618799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342330",
            "telephone_number": "215-291-4200",
            "fax_number": "215-291-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342330",
            "telephone_number": "215-291-4200",
            "fax_number": "215-291-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARUL TRIVEDI P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BOCHINSKI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-333-6825"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000909800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABDENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2009; 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.