Organization Active NPI

Peter a. Cilento, D.M.D. and Maryam Sholehvar, D.M.D., LLC

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1871793141
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PETER A. CILENTO, D.M.D. AND MARYAM SHOLEHVAR, D.M.D., LLC
Practice address
1104 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-7901
Phone
(610) 437-4486
Fax
(610) 437-5071
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Linda Lee Anthony
Title
Administrative Assistant
Phone
(610) 437-4486

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Prosthodontics 1223P0700X NU

Addresses

Primary practice location

1104 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-7901

Mailing address

1104 S Cedar Crest Blvd
Suite 100
Allentown, PA 18103-7901
Phone (610) 437-4486

Other identifiers 2

IdentifierTypeStateIssuer
142980OtherPABLUE SHIELD
417742OtherPADELTA DENTAL

National Provider Directory

National Provider Directory

Locations

1104 S Cedar Crest Blvd
#100
Allentown, PA 18103
Phone (610) 437-4486

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1871793141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 S CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037901",
            "telephone_number": "610-437-4486",
            "fax_number": "610-437-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 S CEDAR CREST BLVD",
            "address_2": "SUITE 100",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037901",
            "telephone_number": "610-437-4486",
            "fax_number": "610-437-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A. CILENTO, D.M.D. AND MARYAM SHOLEHVAR, D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "610-437-4486"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "142980",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "417742",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.