Organization Active NPI

Yeadon Family Dentistry

  • Dentist
  • Yeadon, PA
National Provider Identifier
1891047023
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035539 Issued in PA
Legal business name
YEADON FAMILY DENTISTRY
Practice address
724 Church LN
Yeadon, PA 19050-3536
Phone
(484) 461-7222
Fax
(484) 461-7666
NPI assigned
Oct 11, 2012
Organization subpart
Yes
Parent organization
DREXEL HILL FAMILY DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Dinesh S Tewari, DMD
Title
President
Phone
(484) 461-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS035539 PA Primary

Addresses

Primary practice location

724 Church LN
Yeadon, PA 19050-3536

Mailing address

724 Church LN
Yeadon, PA 19050-3536
Phone (484) 461-7222

National Provider Directory

National Provider Directory
Part of
Drexel Hill Family Dentistry

Locations

724 Church Ln
Yeadon, PA 19050
Phone (484) 461-7222

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1891047023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 CHURCH LN",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503536",
            "telephone_number": "484-461-7222",
            "fax_number": "484-461-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 CHURCH LN",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190503536",
            "telephone_number": "484-461-7222",
            "fax_number": "484-461-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEADON FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREXEL HILL FAMILY DENTISTRY",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "TEWARI",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-461-7222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yeadon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.