John a Takacs DMD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS039780 Issued in PA

Legal business name

JOHN A TAKACS DMD

Practice address

1707W Passyunk Ave
Philadelphia, PA 19145

Phone

(215) 271-7259

NPI assigned

Jun 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. John Alexander Takacs, DMDNPI 1295156081

Title

Owner/Dentist

Phone

(215) 271-7259

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

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

• John Alex Takacs, DMD

  • Dentist
  • Lancaster, PA
  • NPI 1295156081
  NPD (past) Authorized official

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1821519752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 QUEEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473220",
            "telephone_number": "215-287-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707W PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "215-271-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A TAKACS DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "215-271-7259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS039780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1295156081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "1295156081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "1295156081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1295156081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MET LIFE",
            "identifier": "1295156081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Johansen, RPH, PHARMD, BCPS
• Margriet Johansen, MS
• Kathryn Johanson, APN
• Noelle Marie Johansson, D.O.
• John 316 International Ministries LLC
• John B. Stetson Charter School
• John del Gaiso, PC
• John F. Kennedy Community MH/Mr Center
• John J Bowden Jr DO PC
• John J Degovann DPM PC

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; 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.