Individual provider Active NPI

Thomas Philip Englert, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Whitehall, PA
National Provider Identifier
1891772323
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS018625L Issued in PA
Practice address
1815 Schadt Ave
Whitehall, PA 18052-3761
Phone
(610) 434-4887
Fax
(610) 434-3326
NPI assigned
Dec 27, 2005
Last updated
Mar 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS018625L PA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DA018625A PA

Addresses

Primary practice location

1815 Schadt Ave
Whitehall, PA 18052-3761

Mailing address

401 Commerce Dr
Suite 108
Ft Washington, PA 19034-2714
Phone (215) 550-7186

Other identifiers 1

IdentifierTypeStateIssuer
0538800MedicaidPA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA018625APAMDOral and Maxillofacial Surgery (Dentist)
DS018625LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Anesthesia Associates, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1891772323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "215-550-7186",
            "fax_number": "215-646-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SCHADT AVE",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523761",
            "telephone_number": "610-434-4887",
            "fax_number": "610-434-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLERT",
        "first_name": "THOMAS",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS018625L",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DA018625A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.