NPIMap

Organization Active NPI

Philadelphia Dental Smiles PC

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1811468101
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PHILADELPHIA DENTAL SMILES PC
Practice address
9140 Academy Rd Ste H
Philadelphia, PA 19114-2853
Phone
(215) 335-3339
Fax
(215) 335-0412
NPI assigned
Dec 11, 2018
Last updated
Mar 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Mr. Jatin Movalia, MANAGER
Title
Manager/President
Phone
(215) 335-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9140 Academy Rd Ste H
Philadelphia, PA 19114-2853

Mailing address

9140 Academy Rd
Philadelphia, PA 19114-2853
Phone (215) 335-3339

National Provider Directory

National Provider Directory

Locations

9140 Academy Rd
Ste H
Philadelphia, PA 19114
Phone (215) 335-3339

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": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1811468101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142853",
            "telephone_number": "215-335-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 ACADEMY RD STE H",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142853",
            "telephone_number": "215-335-3339",
            "fax_number": "215-335-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA DENTAL SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "MOVALIA",
        "authorized_official_first_name": "JATIN",
        "authorized_official_title_or_position": "MANAGER/PRESIDENT",
        "authorized_official_telephone_number": "215-335-3339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "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 Mar 5, 2019; 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.