Titan St Enterprises, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TITAN ST ENTERPRISES, LLC

Doing business as

Sellersville Family Dental

Practice address

920 Lawn Ave Ste 8
Sellersville, PA 18960-1560

Phone

(215) 258-1090

Fax

(215) 258-1091

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

TITAN ST ENTERPRISES, LLCAs reported in NPPES

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

Authorized official

Name

Sharon A Reina

Title

Operations Manager

Phone

(267) 404-7384

Specialties & licenses 1

Addresses

Other names 1

• Sellersville Family Dental Doing business as

Part of

Titan St Enterprises LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonifacio Morales Javier, D.D.S.

  • General Practice Dentistry
  • Lansdale, PA
  • NPI 1740321140
  NPD (past)
• Jihye Kim, DDS

  • General Practice Dentistry
  • Lansdale, PA
  • NPI 1811240393
  NPD (past)

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1851147946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE STE 8",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-258-1090",
            "fax_number": "215-258-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LAWN AVE STE 8",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601560",
            "telephone_number": "215-258-1090",
            "fax_number": "215-258-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN ST ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TITAN ST ENTERPRISES, LLC",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "REINA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "267-404-7384"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sellersville Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal M. Thomas, PA-C
• Meghan Thomas
• Terri M Thomas
• Amy B Thompson, BA
• Kelly H Thomson, M.A.
• Stephen L Tobias, M.S.W.
• Janice P Todic
• Nicole S Tolbert, B.S.W.
• Queenie Tolete-Renner, CRNA
• Angela L Tomlin, B.A.

• Dental Clinic/Center in Sellersville, PA
• Providers in Sellersville, 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 Apr 29, 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.