Organization Active NPI

Pure Dentistry LLC

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1790376747
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Feb 2, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.