Organization Active NPI

Mayfair Dental Professional Corporation

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1871349548
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MAYFAIR DENTAL PROFESSIONAL CORPORATION
Practice address
6412 Frankford Ave Ste 10
Philadelphia, PA 19135-3005
Phone
(215) 333-8100
NPI assigned
Apr 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Ash Batra
Title
Ceo
Phone
(267) 640-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6412 Frankford Ave Ste 10
Philadelphia, PA 19135-3005

Mailing address

118 Avondale Dr
North Wales, PA 19454-3900

Other names 1

  • Mayfair Dental Professional Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

6412 Frankford Ave
#10
Philadelphia, PA 19135
Phone (215) 333-8100

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": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1871349548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AVONDALE DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194543900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 FRANKFORD AVE STE 10",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191353005",
            "telephone_number": "215-333-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "BATRA",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-640-8277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfair Dental Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.