Active NPI
Sheedeh Madani, MS, DMD
- Pediatric Dentistry
- Bala Cynwyd, PA
National Provider Identifier
1881079564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS040852
- Practice address
- 15 N Presidential Blvd Ste 303
Bala Cynwyd, PA 19004-1022 - Phone
- (610) 336-8478
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS040852 | PA | Primary |
Addresses
Primary practice location
15 N Presidential Blvd Ste 303
Bala Cynwyd, PA 19004-1022
Mailing address
600 Portledge Dr
Bryn Mawr, PA 19010-1154
Phone (610) 496-0745
Other practice location 1
240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380
Other practice location 2
6801 Ridge Ave
Philadelphia, PA 19128-2446
Phone (215) 483-6633
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040852 | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bala Kids Dentistry | Pediatric Dentistry | Past | Accepting new patients |
| David a. Bresler DDS PC | Pediatric Dentistry | Past | Accepting new patients |
| Bresler Richmond Dental Associates | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Bala Cynwyd, PA
- NPI 1336673417
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1225183072
-
- Pediatric Dentistry
- Philadelphia, PA
- NPI 1134251580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881079564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PORTLEDGE DR",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101154",
"telephone_number": "610-496-0745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 N PRESIDENTIAL BLVD STE 303",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041022",
"telephone_number": "610-336-8478"
}
],
"practiceLocations": [
{
"address_1": "240 Geiger Rd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191151008",
"country_code": "US",
"telephone_number": "215-677-0380",
"fax_number": "215-969-0215",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6801 Ridge Ave",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191282446",
"country_code": "US",
"telephone_number": "215-483-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADANI",
"first_name": "SHEEDEH",
"name_prefix": "Dr.",
"credential": "MS, DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS040852",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.