Organization Active NPI

Memar Dental Care, LLC

  • Dental Clinic/Center
  • Broomall, PA
National Provider Identifier
1881113256
Registry record updated Aug 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS039575 Issued in PA
Legal business name
MEMAR DENTAL CARE, LLC
Practice address
1999 Sproul Rd Ste 15
Broomall, PA 19008-3508
Phone
(610) 325-4444
Fax
(610) 325-6993
NPI assigned
Sep 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2023

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

Authorized official

Name
Oqba Memar, DMD
Title
General Dentist
Phone
(610) 325-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS039575 PA Primary

Addresses

Primary practice location

1999 Sproul Rd Ste 15
Broomall, PA 19008-3508

Mailing address

1999 Sproul Rd Ste 15
Broomall, PA 19008-3508
Phone (610) 325-4444

National Provider Directory

National Provider Directory

Locations

1999 Sproul Rd
Ste 15
Broomall, PA 19008
Phone (610) 325-4444

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": "1505520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691798400000",
    "number": "1881113256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD STE 15",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-325-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SPROUL RD STE 15",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083508",
            "telephone_number": "610-325-4444",
            "fax_number": "610-325-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMAR DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-16",
        "last_updated": "2023-08-12",
        "certification_date": "2023-08-12",
        "status": "A",
        "authorized_official_last_name": "MEMAR",
        "authorized_official_first_name": "OQBA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "610-325-4444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS039575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2023; 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.