Organization Active NPI

Center City Dental Associates

  • General Practice Dentistry
  • Philadelphia, PA
National Provider Identifier
1881884864
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO29611L Issued in PA
Legal business name
CENTER CITY DENTAL ASSOCIATES
Practice address
2000 Market Street
Suite 1405
Philadelphia, PA 19103-3214
Phone
(215) 564-9010
Fax
(215) 564-1184
NPI assigned
Jul 26, 2007
Last updated
Jul 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
Ms. Tracy Noble
Title
Office Manager
Phone
(215) 564-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DSO29611L PA Primary

Addresses

Primary practice location

2000 Market Street
Suite 1405
Philadelphia, PA 19103-3214

Mailing address

2000 Market St
Suite 1405
Philadelphia, PA 19103-3231
Phone (215) 564-9010

National Provider Directory

National Provider Directory

Locations

2000 Market St
Ste 1405
Philadelphia, PA 19103
Phone (215) 564-9010

Practitioners & affiliated clinicians

Practitioners 1

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": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1881884864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MARKET ST",
            "address_2": "SUITE 1405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033231",
            "telephone_number": "215-564-9010",
            "fax_number": "215-564-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARKET STREET",
            "address_2": "SUITE 1405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033214",
            "telephone_number": "215-564-9010",
            "fax_number": "215-564-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-564-9010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO29611L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.