Individual provider Active NPI

Ilvain Hechavarria Sanchez, DMD

  • General Practice Dentistry
  • Bala Cynwyd, PA
National Provider Identifier
1871154203
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042401 Issued in PA
Practice address
301 E City Ave Ste G5
Bala Cynwyd, PA 19004-1707
Phone
(610) 660-9510
NPI assigned
Jun 26, 2019
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042401 PA Primary

Addresses

Primary practice location

301 E City Ave Ste G5
Bala Cynwyd, PA 19004-1707

Mailing address

400 S 40TH St Apt 317
Philadelphia, PA 19104-6704
Phone (215) 596-9681

Other practice location 1

2327 Cottman Ave
Philadelphia, PA 19149-1008
Phone (215) 332-8700

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
DS042401PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Dental Care P.C. General Practice PastSince Nov 10, 2019 Accepting new patients
Dental Care of Stratford General Practice Past Accepting new patients
American Family Dentistry, P.C. Dentist PastSince Nov 10, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1871154203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 40TH ST APT 317",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046704",
            "telephone_number": "215-596-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CITY AVE STE G5",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041707",
            "telephone_number": "610-660-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2327 Cottman Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491008",
            "country_code": "US",
            "telephone_number": "215-332-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECHAVARRIA SANCHEZ",
        "first_name": "ILVAIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.