Media Smiles PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035082 Issued in PA

Legal business name

MEDIA SMILES PC

Practice address

1215 W Baltimore Pike Ste 12
Media, PA 19063-5540

Phone

(610) 566-0885

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Catherine CavanaughNPI 1609281427

Title

President

Phone

(610) 566-0885

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Cavanaugh, DMD

  • General Practice Dentistry
  • Media, PA
  • NPI 1609281427
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821114745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W BALTIMORE PIKE STE 12",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W BALTIMORE PIKE STE 12",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635540",
            "telephone_number": "610-566-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-566-0885",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Media Fire and Hook and Ladder Company #1
• Media Hearing Aid Center, P.C.
• Media Lima Dental Associates LLC
• Media Lima Dental LLC
• Media Psychiatric Services, LLC
• Medical House Call Clinic LLC
• Tamika Medley, ED.D.
• Michael John Meehan, M.A., CCC-SLP
• Lilian Elizabeth Meier, D.C.
• Kathryn Elizabeth Mema, P.T., D.P.T.

• General Practice Dentistry in Media, PA
• Providers in Media, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.