NPIMap

Organization Active NPI

Rami a Khoury DMD PC

  • Dentist
  • Fountain Hill, PA
National Provider Identifier
1902263916
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035891 Issued in PA
Legal business name
RAMI A KHOURY DMD PC
Practice address
1003 Broadway
Fountain Hill, PA 18015-4101
Phone
(610) 691-3311
Fax
(610) 317-6052
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Rami A Khoury, DMDNPI 1215069752
Title
Owner
Phone
(610) 691-3311

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS035891 PA Primary

Addresses

Primary practice location

1003 Broadway
Fountain Hill, PA 18015-4101

Mailing address

1003 Broadway
Bethlehem, PA 18015
Phone (610) 691-3311

Other identifiers 2

IdentifierTypeStateIssuer
101874749 0001MedicaidPA
1215069752OtherINDIVIDUAL NPI

Other names 1

  • Broadway Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1003 Broadway
Fountain Hill, PA 18015
Phone (610) 691-3311

Practitioners & affiliated clinicians

Practitioners 3

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": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1902263916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BROADWAY",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18015",
            "telephone_number": "610-691-3311",
            "fax_number": "610-317-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BROADWAY",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154101",
            "telephone_number": "610-691-3311",
            "fax_number": "610-317-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMI A KHOURY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "RAMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-691-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101874749 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215069752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.