Organization Active NPI

Philip C Stein DDS PC

  • Health Maintenance Organization
  • Phila, PA
National Provider Identifier
1780992032
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
DS026784L Issued in PA
Legal business name
PHILIP C STEIN DDS PC
Practice address
2132 E Cumberland St
Phila, PA 19125-1732
Phone
(215) 739-5206
Fax
(215) 739-7678
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Philip Stein
Title
Dentist
Phone
(215) 739-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X DS026784L PA Primary

Addresses

Primary practice location

2132 E Cumberland St
Phila, PA 19125-1732

Mailing address

2132 E Cumberland St
Phila, PA 19125-1732
Phone (215) 739-5206

Other identifiers 1

IdentifierTypeStateIssuer
0012651180001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2132 E Cumberland St
Philadelphia, PA 19125
Phone (215) 739-5206

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1780992032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 E CUMBERLAND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191251732",
            "telephone_number": "215-739-5206",
            "fax_number": "215-739-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 E CUMBERLAND ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191251732",
            "telephone_number": "215-739-5206",
            "fax_number": "215-739-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP C STEIN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-739-5206"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": "DS026784L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012651180001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.