Organization Active NPI

Gregg Soffer

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1801388418
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS030384L Issued in PA
Legal business name
GREGG SOFFER
Practice address
549 Stonybrook Dr
Levittown, PA 19055-2228
Phone
(215) 943-2077
NPI assigned
May 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Gregg Soffer, DMDNPI 1780634105
Title
Dentist
Phone
(215) 943-2077

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS030384L PA Primary

Addresses

Primary practice location

549 Stonybrook Dr
Levittown, PA 19055-2228

Mailing address

549 Stonybrook Dr
Levittown, PA 19055-2228
Phone (215) 943-2077

Other identifiers 1

IdentifierTypeStateIssuer
1033844510001MedicaidPA

National Provider Directory

National Provider Directory

Locations

549 Stonybrook Dr
Levittown, PA 19055
Phone (215) 943-2077

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": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1801388418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552228",
            "telephone_number": "215-943-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 STONYBROOK DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190552228",
            "telephone_number": "215-943-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG SOFFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "SOFFER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-943-2077",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030384L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033844510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.