Active NPI
Pure Dentistry LLC
- Dental Clinic/Center
- Philadelphia, PA
National Provider Identifier
1790376747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PURE DENTISTRY LLC
- Practice address
- 1601 Walnut St Ste 1217
Philadelphia, PA 19102-2908 - Phone
- (215) 575-0550
- Fax
- (215) 575-0554
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kunal Parikh
- Title
- President
- Phone
- (845) 664-3606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1601 Walnut St Ste 1217
Philadelphia, PA 19102-2908
Mailing address
1601 Walnut St Ste 1217
Philadelphia, PA 19102-2908
Phone (215) 575-0550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612224000000",
"number": "1790376747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WALNUT ST STE 1217",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022908",
"telephone_number": "215-575-0550",
"fax_number": "215-575-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WALNUT ST STE 1217",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022908",
"telephone_number": "215-575-0550",
"fax_number": "215-575-0554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-02",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A",
"authorized_official_last_name": "PARIKH",
"authorized_official_first_name": "KUNAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-664-3606",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.