Individual provider Active NPI

Sheedeh Madani, MS, DMD

  • Pediatric Dentistry
  • Bala Cynwyd, PA
National Provider Identifier
1881079564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS040852 Issued in PA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS040852PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.