Academy Family Dental Care PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS029793L Issued in PA

Legal business name

ACADEMY FAMILY DENTAL CARE PC

Practice address

10431 Academy Rd Ste a
Philadelphia, PA 19114-1126

Phone

(215) 637-7474

Fax

(215) 637-4408

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Junaid Chaudhry, DMD

Title

President

Phone

(215) 637-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Academy Family Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Academy Family Dental Care

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1063770378
  NPD tax ID

Locations

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1780930289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-7474",
            "fax_number": "215-637-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD STE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141126",
            "telephone_number": "215-637-7474",
            "fax_number": "215-637-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY FAMILY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "JUNAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-637-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS029793L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS029793L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abz Dental PLLC
• Luis Alejandro Acaba-Berrocal
• Academy Denistry Group
• Academy Dental Associates, LLC
• Academy Family Dental Care
• Academy Oral Surgery LLC
• Academy Orthodontics LLC
• Academy Pharmacy LLC
• Academy Pharmacy LLC
• Academy Physical Medicine, P.C.

• All providers in Philadelphia, PA
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.