Individual provider Active NPI

George E Federici, D.D.S.

  • General Practice Dentistry
  • Maple Glen, PA
National Provider Identifier
1922160654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018006-L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DS018006-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Lewin, DDS, LLC PastSince Aug 29, 2021 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.

Verify at the official NPI Registry.