Organization Active NPI

Faina M. Badineva DDS

Doing business as Esthetique Dental Group PC

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1770798555
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031415L Issued in PA
Legal business name
FAINA M. BADINEVA DDS
Doing business as
Esthetique Dental Group PC
Practice address
1518 Walnut St
Suite 400
Philadelphia, PA 19102-3419
Phone
(215) 772-0707
Fax
(215) 772-0271
NPI assigned
May 14, 2007
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Dr. Faina M Badineva, DDSNPI 1649609496
Title
President
Phone
(215) 772-0707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS031415L PA Primary

Addresses

Primary practice location

1518 Walnut St
Suite 400
Philadelphia, PA 19102-3419

Mailing address

1518 Walnut St
Suite 400
Philadelphia, PA 19102-3419
Phone (215) 772-0707

Other identifiers 2

IdentifierTypeStateIssuer
1381013OtherPAUNITED CONCORDIA
223002OtherUTUNITED HEALTHCARE

Other names 1

  • Esthetique Dental Group PC Doing business as

National Provider Directory

National Provider Directory

Locations

1518 Walnut St
Ste 400
Philadelphia, PA 19102
Phone (215) 317-7625

Practitioners & affiliated clinicians

Practitioners 2

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": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1770798555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023419",
            "telephone_number": "215-772-0707",
            "fax_number": "215-772-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023419",
            "telephone_number": "215-772-0707",
            "fax_number": "215-772-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAINA M. BADINEVA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BADINEVA",
        "authorized_official_first_name": "FAINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-772-0707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031415L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1381013",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "223002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esthetique Dental Group PC",
            "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 Oct 21, 2013; 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.