Active NPI
Nusmile Dental LLC
- Dentist
- Philadelphia, PA
National Provider Identifier
1952865933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2019
- 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
- Viji Seethraman, DDS
- Title
- Buisness Owner
- Phone
- (732) 666-7415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS039249 | Other | PA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Philadelphia, PA
- NPI 1114280435
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.