Individual provider Active NPI

Bianca Kreider, DMD

  • Pediatric Dentistry
  • Philadelphia, PA
National Provider Identifier
1912436874
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS042918 Issued in PA
Practice address
6801 Ridge Ave
Philadelphia, PA 19128-2446
Phone
(215) 483-6633
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X UNKNOWN NY
Pediatric Dentistry 1223P0221X 00203918 CO
Pediatric Dentistry 1223P0221X DS042918 PA Primary

Addresses

Primary practice location

6801 Ridge Ave
Philadelphia, PA 19128-2446

Mailing address

741 Spring Mill Ave
Conshohocken, PA 19428-1953
Phone (240) 441-6555

Other practice location 1

345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9800

Other practice location 2

10000 Commons St
Lone Tree, CO 80124
Phone (303) 662-0543

Other practice location 3

240 Geiger Rd
Philadelphia, PA 19115-1008
Phone (215) 677-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00203918COMDPediatric Dentist
DS042918PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Bresler DDS PC Pediatric Dentistry PastSince Sep 20, 2020 Accepting new patients
Bresler Richmond Dental Associates PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1912436874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 SPRING MILL AVE",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281953",
            "telephone_number": "240-441-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282446",
            "telephone_number": "215-483-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Commons St",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "80124",
            "country_code": "US",
            "telephone_number": "303-662-0543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "240 Geiger Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191151008",
            "country_code": "US",
            "telephone_number": "215-677-0380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "UNKNOWN",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "00203918",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS042918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.