Individual provider Active NPI

Neil Francis Dispirito, DDS

  • General Practice Dentistry
  • Huntingdon Valley, PA
National Provider Identifier
1902974348
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025566L Issued in PA
Practice address
654 Red Lion Rd
Huntingdon Valley, PA 19006-6217
Phone
(215) 947-7277
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS025566L PA Primary

Addresses

Primary practice location

654 Red Lion Rd
Huntingdon Valley, PA 19006-6217

Mailing address

654 Red Lion Rd
Huntingdon Valley, PA 19006-6217
Phone (215) 947-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000304 PA Order and Referring Only - DentistPractitioner - Dentist 4981904646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902974348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 RED LION RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066217",
            "telephone_number": "215-947-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 RED LION RD",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066217",
            "telephone_number": "215-947-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISPIRITO",
        "first_name": "NEIL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025566L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.