Groovy Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GROOVY PEDIATRIC DENTISTRY

Practice address

1125 Lancaster Ave
Berwyn, PA 19312-2601

Phone

(610) 557-0252

Fax

(610) 557-0253

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Jacqueline Palma Wingate, DMD, MPH

Title

Board Certified Pediatric Dentist

Phone

(610) 557-0252

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1881342152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122601",
            "telephone_number": "610-557-0252",
            "fax_number": "610-557-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LANCASTER AVE",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122601",
            "telephone_number": "610-557-0252",
            "fax_number": "610-557-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROOVY PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "PALMA",
        "authorized_official_title_or_position": "BOARD CERTIFIED PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "610-557-0252",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@groovyteeth.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 Lancaster Ave",
            "city": "Berwyn",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193122601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhonda Baldwin Goodchild
• Barrie M. Greenberg, PT, DPT
• Mary Evans Greene
• Antje L Greenfield, MD
• Richard John Gregory, D.D.S.
• Jennifer Grubb, CRNP, PMHNP-BC
• Hailey Guarracino, DPT
• Julie L. Guay, PSY.D., ABPP
• Humberto Guerra-Garcia, M.D.
• Jacqueline Halpern, PSYD

• Pediatric Dentistry in Berwyn, PA
• Providers in Berwyn, PA by specialty
• Pediatric Dentistry in Pennsylvania

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