Active NPI
Afton Dental at Rittenhouse PC
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1942575782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS037902
- Legal business name
- AFTON DENTAL AT RITTENHOUSE PC
- Practice address
- 255 S 17TH St
Suite 2807
Philadelphia, PA 19103-6231 - Phone
- (215) 546-2311
- NPI assigned
- Mar 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nikunj Zalavadia, DMD
- Title
- President
- Phone
- (215) 546-2311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS037902 | PA | Primary |
Addresses
Primary practice location
255 S 17TH St
Suite 2807
Philadelphia, PA 19103-6231
Mailing address
255 S 17TH St
Suite 2807
Philadelphia, PA 19103-6231
Phone (215) 546-2311
Other names 1
- Rittenhouse Dental Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1942575782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"address_2": "SUITE 2807",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "215-546-2311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S 17TH ST",
"address_2": "SUITE 2807",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191036231",
"telephone_number": "215-546-2311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFTON DENTAL AT RITTENHOUSE PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-13",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "ZALAVADIA",
"authorized_official_first_name": "NIKUNJ",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-546-2311",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS037902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rittenhouse Dental 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 Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.