Kensington Paradise Dental PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

KENSINGTON PARADISE DENTAL PC

Doing business as

Paradise Dental

Practice address

2338 N Front St
Philadelphia, PA 19133-3716

Phone

(267) 886-9474

NPI assigned

Sep 8, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Mercado

Title

Office Assistant

Phone

(484) 640-9603

Specialties & licenses 1

Addresses

Other names 1

• Paradise Dental Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1861113748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333716",
            "telephone_number": "267-886-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333716",
            "telephone_number": "267-886-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON PARADISE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "484-640-9603"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://dentalparadisefamily.com/contacts/",
            "affiliation": "N",
            "endpointDescription": "Business Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2338 N Front St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191333716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paradise Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kensington Hospital- Congreso Clinic
• Kensington Hospital- Erie Medical Center
• Kensington Hospital- Family Planning Clinic
• Kensington Hospital- Intensive Outpatient Program
• Kensington Hospital-Case Management Services
• Jacqueline Marie Kent-Marvick, PHD, RN
• Allison Jane Kent, MS, LPC
• Allison S. Kent, LCSW
• Olivia Kent, M.D.
• Rachel Nicole Kent, PA-C

• Public Health Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Public Health Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.