NPIMap

Organization Active NPI

Doylestown Dental Associates PC

  • Dentist
  • Doylestown, PA
National Provider Identifier
1912001298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021017L Issued in PA
Legal business name
DOYLESTOWN DENTAL ASSOCIATES PC
Practice address
708 Shady Retreat Rd
Suite 6
Doylestown, PA 18901
Phone
(215) 348-4172
Fax
(215) 348-9342
NPI assigned
Sep 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Keith Trachtenberg, DMDNPI 1093819385
Title
Dentist Partner
Phone
(215) 348-4172

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS021017L PA Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DS029525L PA

Addresses

Primary practice location

708 Shady Retreat Rd
Suite 6
Doylestown, PA 18901

Mailing address

708 Shady Retreat Rd
Suite 6
Doylestown, PA 18901
Phone (215) 348-4172

National Provider Directory

National Provider Directory

Locations

708 N Shady Retreat Rd
Ste 6
Doylestown, PA 18901
Phone (215) 348-4172

Practitioners & affiliated clinicians

Practitioners 2

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912001298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SHADY RETREAT RD",
            "address_2": "SUITE 6",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-348-4172",
            "fax_number": "215-348-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SHADY RETREAT RD",
            "address_2": "SUITE 6",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "18901",
            "telephone_number": "215-348-4172",
            "fax_number": "215-348-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLESTOWN DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRACHTENBERG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST PARTNER",
        "authorized_official_telephone_number": "215-348-4172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021017L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029525L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.