NPIMap

Organization Active NPI

Pottstown Pediatric Dentistry & Orthodontics PC

  • Pediatric Dentistry
  • Pottstown, PA
National Provider Identifier
1811449374
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
POTTSTOWN PEDIATRIC DENTISTRY & ORTHODONTICS PC
Practice address
625 N. Pottstown Pike
Suite 2-N
Pottstown, PA 19464
Phone
(610) 337-2325
Fax
(610) 337-3863
NPI assigned
Nov 1, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Jay Goldsleger, DDSNPI 1952390486
Title
President
Phone
(610) 337-2325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X PA Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X PA

Addresses

Primary practice location

625 N. Pottstown Pike
Suite 2-N
Pottstown, PA 19464

Mailing address

596 Lancaster Ave
Suite 100
Malvern, PA 19355-1808
Phone (484) 679-4071

National Provider Directory

National Provider Directory

Locations

596 Lancaster Ave
#100
Malvern, PA 19355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1811449374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551808",
            "telephone_number": "484-679-4071",
            "fax_number": "610-884-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N. POTTSTOWN PIKE",
            "address_2": "SUITE 2-N",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-337-2325",
            "fax_number": "610-337-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN PEDIATRIC DENTISTRY & ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "GOLDSLEGER",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-337-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.