Organization Active NPI

Minted Dental PC

  • Dentist
  • Havertown, PA
National Provider Identifier
1871337592
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MINTED DENTAL PC
Doing business as
Blue Line Dental
Practice address
2050 W Chester Pike Ste 4
Havertown, PA 19083-2742
Phone
(610) 789-0178
NPI assigned
Jun 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Ragini Singla, DMDNPI 1902126543
Title
President
Phone
(215) 779-3381

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2050 W Chester Pike Ste 4
Havertown, PA 19083-2742

Mailing address

124 Ladbroke Dr
Exton, PA 19341-2454
Phone (215) 779-3381

Other names 1

  • Blue Line Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2050 W Chester Pike
Ste 4
Havertown, PA 19083
Phone (610) 789-0158

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": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1871337592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LADBROKE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412454",
            "telephone_number": "215-779-3381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W CHESTER PIKE STE 4",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832742",
            "telephone_number": "610-789-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTED DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "SINGLA",
        "authorized_official_first_name": "RAGINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-779-3381",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Line Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.