NPIMap

Organization Active NPI

Amazing Dental Care, P.C.

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1841362217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-031430-L Issued in PA
Legal business name
AMAZING DENTAL CARE, P.C.
Practice address
8415 Bustleton Ave
Philadelphia, PA 19152-1901
Phone
(215) 725-4564
Fax
(215) 725-4565
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen Wilfred, D.D.S.NPI 1396734935
Title
Dentist
Phone
(215) 725-4564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS-031430-L PA Primary

Addresses

Primary practice location

8415 Bustleton Ave
Philadelphia, PA 19152-1901

Mailing address

8415 Bustleton Ave
Philadelphia, PA 19152-1901
Phone (215) 725-4564

National Provider Directory

National Provider Directory

Locations

8415 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 725-4564

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841362217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521901",
            "telephone_number": "215-725-4564",
            "fax_number": "215-725-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191521901",
            "telephone_number": "215-725-4564",
            "fax_number": "215-725-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILFRED",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-725-4564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-031430-L",
            "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 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.