NPIMap

Organization Active NPI

Green Hills Family & Cosmetic Dentistry, P.C.

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1780745471
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS031179L Issued in PA
Legal business name
GREEN HILLS FAMILY & COSMETIC DENTISTRY, P.C.
Practice address
1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112
Phone
(610) 395-0980
Fax
(484) 223-1933
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ari Reuben Forgosh, D.M.D.NPI 1265593941
Title
President
Phone
(610) 395-0980

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS031179L PA Primary

Addresses

Primary practice location

1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112

Mailing address

1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112
Phone (610) 395-0980

National Provider Directory

National Provider Directory

Locations

1150 Glenlivet Dr
Ste C38
Allentown, PA 18106
Phone (610) 395-0980

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780745471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "SUITE C-38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "610-395-0980",
            "fax_number": "484-223-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "SUITE C-38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "610-395-0980",
            "fax_number": "484-223-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS FAMILY & COSMETIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORGOSH",
        "authorized_official_first_name": "ARI",
        "authorized_official_middle_name": "REUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-395-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS031179L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.