NPIMap

Organization Active NPI

Chestnut Hill Dental Care

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1891110367
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS039804 Issued in PA
Legal business name
CHESTNUT HILL DENTAL CARE
Practice address
9 E Highland Ave
Philadelphia, PA 19118-3307
Phone
(215) 247-4660
Fax
(215) 248-5739
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Palak JainNPI 1316286461
Title
Associate
Phone
(215) 247-4660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS039804 PA Primary

Addresses

Primary practice location

9 E Highland Ave
Philadelphia, PA 19118-3307

Mailing address

9 E Highland Ave
Philadelphia, PA 19118-3307
Phone (215) 247-4660

Other identifiers 2

IdentifierTypeStateIssuer
DS039804OtherPADEPARTMENT OF DENTISTRY PA
DS039290OtherPADENTAL LICENSE

Other names 1

  • chestnut hill smiles Doing business as

National Provider Directory

National Provider Directory

Locations

9 E Highland Ave
Philadelphia, PA 19118
Phone (215) 247-4660

Practitioners & affiliated clinicians

Practitioners 4

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": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1891110367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E HIGHLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183307",
            "telephone_number": "215-247-4660",
            "fax_number": "215-248-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 E HIGHLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183307",
            "telephone_number": "215-247-4660",
            "fax_number": "215-248-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT HILL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PALAK",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "215-247-4660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS039804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DENTISTRY PA",
            "identifier": "DS039804",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DS039290",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chestnut hill smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2016; 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.