Organization Active NPI

Francis S Matarazzo DDS PC

Doing business as Matarazzo & Milici Group

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1912440405
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS017265L Issued in PA
Legal business name
FRANCIS S MATARAZZO DDS PC
Doing business as
Matarazzo & Milici Group
Practice address
1 Crescent Dr
Ste 300
Philadelphia, PA 19112-1015
Phone
(215) 389-3161
Fax
(215) 389-1036
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Dr. Francis S Matarazzo, DDS
Title
Owner
Phone
(215) 389-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS017265L PA Primary

Addresses

Primary practice location

1 Crescent Dr
Ste 300
Philadelphia, PA 19112-1015

Mailing address

1 Crescent Dr
Ste 300
Philadelphia, PA 19112-1015
Phone (215) 389-3161

Other names 1

  • MATARAZZO & MILICI GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

1 Crescent Dr
Ste 300
Philadelphia, PA 19112
Phone (215) 389-3161

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1912440405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR",
            "address_2": "STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121015",
            "telephone_number": "215-389-3161",
            "fax_number": "215-389-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR",
            "address_2": "STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121015",
            "telephone_number": "215-389-3161",
            "fax_number": "215-389-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS S MATARAZZO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "MATARAZZO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-389-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS017265L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATARAZZO & MILICI GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 1, 2016; 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.