Organization Active NPI

Abington Smile Center

  • General Practice Dentistry
  • Abington, PA
National Provider Identifier
1871044263
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029797L Issued in PA
Legal business name
ABINGTON SMILE CENTER
Practice address
1501 Old York Rd
Abington, PA 19001-1907
Phone
(215) 558-4205
NPI assigned
Oct 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Michael Belder, DDSNPI 1356438048
Title
Owner
Phone
(215) 558-4205

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS029797L PA Primary

Addresses

Primary practice location

1501 Old York Rd
Abington, PA 19001-1907

Mailing address

1501 Old York Rd
Abington, PA 19001-1907
Phone (215) 558-4205

Other identifiers 1

IdentifierTypeStateIssuer
0015979130002MedicaidPA

National Provider Directory

National Provider Directory

Locations

1501 Old York Rd
Abington, PA 19001
Phone (215) 391-5939

Practitioners & affiliated clinicians

Practitioners 1

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": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1871044263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011907",
            "telephone_number": "215-558-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190011907",
            "telephone_number": "215-558-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGTON SMILE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "BELDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-558-4205",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029797L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015979130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.