NPIMap

Organization Active NPI

Orange St Dental Associates LLC

  • Dental Clinic/Center
  • Media, PA
National Provider Identifier
1902659006
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ORANGE ST DENTAL ASSOCIATES LLC
Practice address
2 S Orange St
Media, PA 19063-2619
Phone
(610) 572-3422
NPI assigned
Apr 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Shaheen Shafagh, DMDNPI 1013403666
Title
Owner
Phone
(610) 733-8877

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 Primary

Addresses

Primary practice location

2 S Orange St
Media, PA 19063-2619

Mailing address

2 S Orange St
Media, PA 19063-2619
Phone (610) 572-3422

Other names 1

  • Media Hometown Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2 S Orange St
Media, PA 19063
Phone (610) 572-3422

Practitioners & affiliated clinicians

Practitioners 1

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": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1902659006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S ORANGE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632619",
            "telephone_number": "610-572-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S ORANGE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632619",
            "telephone_number": "610-572-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE ST DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "SHAFAGH",
        "authorized_official_first_name": "SHAHEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-733-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Media Hometown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.