Robert S Kravitz DDS Assoc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020797L Issued in PA

Legal business name

ROBERT S KRAVITZ DDS ASSOC

Practice address

440 S Broad St
#2508
Phila, PA 19146-4901

Phone

(215) 985-5889

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Saul Kravitz, DDS

Title

President Owner

Phone

(215) 985-5889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1811954654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 S BROAD ST",
            "address_2": "#2508",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191464901",
            "telephone_number": "215-985-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S BROAD ST",
            "address_2": "#2508",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191464901",
            "telephone_number": "215-985-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S KRAVITZ DDS ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "KRAVITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "215-985-5889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020797L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.