Navy Yard Dental Associates, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NAVY YARD DENTAL ASSOCIATES, PLLC

Practice address

1 Crescent Dr Ste 300
Philadelphia, PA 19112-1015

Phone

(215) 398-4750

Fax

(215) 398-1036

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Greenfield

Title

Compliance Officer

Phone

(215) 398-4750

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: navyyard@888smile10.com

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1952947152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MIDDLETOWN BLVD STE 401",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190473204",
            "telephone_number": "215-422-3647",
            "fax_number": "215-987-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRESCENT DR STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121015",
            "telephone_number": "215-398-4750",
            "fax_number": "215-398-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVY YARD DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "215-398-4750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BUSINESS ENTITY",
            "identifier": "6907448",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "navyyard@888Smile10.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Crescent Dr Ste 300",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191121015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Omer Waqar Naveed, MD
• Alinoel Navia, CCC-SLP
• Naviel Compassionate Care & Health Advocacy
• Paul Daniel Navo, MD, MPH
• Navva Health
• Amber Navy, MD
• Ursula S. Nawab, MD
• Rawan Nawaz, D.C
• Lavanya Nawlakhe
• John Eugene Nawn, M.D.

• Dentist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dentist in Pennsylvania

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