Individual provider Active NPI

Radhika Malhotra, DMD

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1831829472
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044485 Issued in PA
Practice address
701 E Cathedral Rd Ste 43
Philadelphia, PA 19128-2128
Phone
(267) 748-2090
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN27402 FL
General Practice Dentistry 1223G0001X DS044485 PA Primary

Addresses

Primary practice location

701 E Cathedral Rd Ste 43
Philadelphia, PA 19128-2128

Mailing address

6 Derbyshire Way
Wilmington, DE 19807-2576
Phone (302) 333-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN27402FLMDGeneral Practice Dentistry
DS044485PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Dentistry PLLC General Practice CurrentSince Feb 25, 2024 Accepting new patients
All Dental, PLLC General Practice PastSince Jun 1, 2022 Accepting new patients

Locations

701 E Cathedral Rd
Ste 43
Philadelphia, PA 19128
Phone (267) 748-2090

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1831829472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DERBYSHIRE WAY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198072576",
            "telephone_number": "302-333-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E CATHEDRAL RD STE 43",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282128",
            "telephone_number": "267-748-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "RADHIKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27402",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044485",
            "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 Feb 22, 2024; 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.