Usman Alam, D.M.D.
Individual provider Active NPI Dentist · Warminster, PA
NPI 1821400409 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1821400409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS039952 (PA)
- Practice address
- 1220 Old York Rd
Warminster, PA 18974-2013 - Phone
- (215) 681-1656
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404000366 | PA | Order and Referring Only - Dentist |
4789981952 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039952 | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039952 | PA | Yes |
| General Practice Dentistry | 1223G0001X | DS039952 | PA |
Addresses
Primary practice location
1220 Old York Rd
Warminster, PA 18974-2013
Mailing address
5812 N 4TH St
Philadelphia, PA 19120-1856
Phone (215) 681-1656
Other providers in Warminster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.