Sushilchandra G. Desai DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020600L Issued in PA

Legal business name

SUSHILCHANDRA G. DESAI DDS, PC

Practice address

6032 Lansdowne Ave
Philadelphia, PA 19151-4230

Phone

(215) 473-7444

Fax

(215) 473-4183

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sushilchandra Ghelabhai Desai, DDSNPI 1316119308

Title

Dentist

Phone

(215) 473-7444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sushilchandra Ghelabhai Desai, D.D.S.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1316119308
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932317781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514230",
            "telephone_number": "215-473-7444",
            "fax_number": "215-473-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 LANSDOWNE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191514230",
            "telephone_number": "215-473-7444",
            "fax_number": "215-473-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHILCHANDRA G. DESAI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SUSHILCHANDRA",
        "authorized_official_middle_name": "GHELABHAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "215-473-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020600L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS020600L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008635320002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Survival Home Care and Multi Services, LLC
• Surya K. Vangore M.D. P.C
• Manish Hari Suryapalam
• Susan B. Ragonesi M.D. P.C.
• Sandra Patricia Susanibar Adaniya, MD
• Murray Suskin, M.D.
• Samuel Suslavich
• Gregory R. Suslow, M.D.
• Melanie Susskind
• Morgan Sussman-McCrea, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.