NPIMap

Organization Active NPI

Premier Endodontics, PC

  • Endodontics
  • Philadelphia, PA
National Provider Identifier
1790706778
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS061316L Issued in PA
Legal business name
PREMIER ENDODONTICS, PC
Practice address
4101 Tyson Ave
Philadelphia, PA 19135-1615
Phone
(215) 338-0188
Fax
(215) 338-9076
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Neal Appelstein, DMDNPI 1093780041
Title
Owner
Phone
(215) 338-0188

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DS061316L PA Primary

Addresses

Primary practice location

4101 Tyson Ave
Philadelphia, PA 19135-1615

Mailing address

1700 Devonshire Rd
Dresher, PA 19025-1307
Phone (215) 657-5158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1790706778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 DEVONSHIRE RD",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251307",
            "telephone_number": "215-657-5158",
            "fax_number": "215-338-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191351615",
            "telephone_number": "215-338-0188",
            "fax_number": "215-338-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "APPELSTEIN",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-338-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS061316L",
            "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 Dec 21, 2007; 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.