Active NPI
George E Federici, D.D.S.
- General Practice Dentistry
- Maple Glen, PA
National Provider Identifier
1922160654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS018006-L
- Practice address
- 858 E Welsh Rd
Maple Glen Professional Center Suite #3
Maple Glen, PA 19002-2942 - Phone
- (215) 643-3755
- Fax
- (215) 646-5135
- NPI assigned
- Dec 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018006-L | PA | Primary |
Addresses
Primary practice location
858 E Welsh Rd
Maple Glen Professional Center Suite #3
Maple Glen, PA 19002-2942
Mailing address
858 E Welsh Rd
Maple Glen Professional Center Suite #3
Maple Glen, PA 19002-2942
Phone (215) 643-3755
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018006-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachel Lewin, DDS, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922160654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 E WELSH RD",
"address_2": "MAPLE GLEN PROFESSIONAL CENTER SUITE #3",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190022942",
"telephone_number": "215-643-3755",
"fax_number": "215-646-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "858 E WELSH RD",
"address_2": "MAPLE GLEN PROFESSIONAL CENTER SUITE #3",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190022942",
"telephone_number": "215-643-3755",
"fax_number": "215-646-5135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERICI",
"first_name": "GEORGE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS018006-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Glen, PA
Sources for this page
- 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.