Micaella Queiroz Borges-Schocker, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

030252 Issued in PA

Practice address

780 W Lancaster Ave
Suite 100
Bryn Mawr, PA 19010-3415

Phone

(610) 527-2434

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mborgesschock49539@direct.nemours.org

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

• Robin Harshaw and Associates

  • Pediatric Dentistry
  • Bryn Mawr, PA
  • NPI 1447479043
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912126509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOWE CT",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421783",
            "telephone_number": "610-399-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 W LANCASTER AVE",
            "address_2": "SUITE 100",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103415",
            "telephone_number": "610-527-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES-SCHOCKER",
        "first_name": "MICAELLA",
        "middle_name": "QUEIROZ",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "030252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Brooke Bogdanoff
• Carole Reese Bogdanoff, PH.D.
• Kristina Keegan Bonesteel, CRNP
• Bartholomew R Bono, MD
• Paul K Bookman
• Stephen C Borgese, MD
• Nahed S Botros, DO
• Suzanne Bowers, L.AC
• Irene G Bowman
• Sara Carleen Bowman, PA-C

• Pediatric Dentistry in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.