Active NPI
Halah Obeidat, DMD
- Pediatric Dentistry
- Philadelphia, PA
National Provider Identifier
1891343232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS043512
- Practice address
- 2301 E Allegheny Ave
Philadelphia, PA 19134-4427 - Phone
- (215) 282-8000
- Fax
- (215) 427-1782
- NPI assigned
- Aug 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS043512 | PA | |
| Pediatric Dentistry | 1223P0221X | 22DI03054000 | NJ | |
| General Practice Dentistry | 1223G0001X | 35673 | TX | |
| Pediatric Dentistry | 1223P0221X | DS043512 | PA | Primary |
Addresses
Primary practice location
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Mailing address
42 Parry Way
Ivyland, PA 18974-2858
Phone (732) 397-0888
Other practice location 1
805 Route 38
Cherry Hill, NJ 08002-2850
Phone (856) 281-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35673 | TX | MD | General Practice Dentistry |
| 22DI03054000 | NJ | MD | Pediatric Dentist |
| DS043512 | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolana Dental, PLLC | General Practice | Past | Accepting new patients |
| Heroes Weslaco PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1891343232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 PARRY WAY",
"city": "IVYLAND",
"state": "PA",
"postal_code": "189742858",
"telephone_number": "732-397-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191344427",
"telephone_number": "215-282-8000",
"fax_number": "215-427-1782"
}
],
"practiceLocations": [
{
"address_1": "805 Route 38",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080022850",
"country_code": "US",
"telephone_number": "856-281-7600",
"fax_number": "856-281-7604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBEIDAT",
"first_name": "HALAH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS043512",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI03054000",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35673",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS043512",
"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 Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.