Organization Active NPI

Nusmile Dental LLC

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1952865933
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NUSMILE DENTAL LLC
Practice address
10107 Verree Rd
Philadelphia, PA 19116-3613
Phone
(267) 388-7754
NPI assigned
Jan 24, 2019
Last updated
Jan 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Viji Seethraman, DDS
Title
Buisness Owner
Phone
(732) 666-7415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

10107 Verree Rd
Philadelphia, PA 19116-3613

Mailing address

10107 Verree Rd
Philadelphia, PA 19116-3613
Phone (267) 388-7754

Other identifiers 1

IdentifierTypeStateIssuer
DS039249OtherPASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

10107 Verree Rd
Philadelphia, PA 19116
Phone (267) 388-7754

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1952865933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10107 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163613",
            "telephone_number": "267-388-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10107 VERREE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163613",
            "telephone_number": "267-388-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "SEETHRAMAN",
        "authorized_official_first_name": "VIJI",
        "authorized_official_title_or_position": "BUISNESS OWNER",
        "authorized_official_telephone_number": "732-666-7415",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS039249",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2019; 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.