Active NPI
Center One Dental Associates PC
- Dental Clinic/Center
- Philadelphia, PA
National Provider Identifier
1972074250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CENTER ONE DENTAL ASSOCIATES PC
- Practice address
- 9880 Bustleton Ave Ste 213
Philadelphia, PA 19115-2143 - Phone
- (215) 464-4888
- NPI assigned
- Dec 11, 2018
- 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
- Mr. Jatin Movalia, MANAGER
- Title
- Manager/President
- Phone
- (215) 673-4888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
9880 Bustleton Ave Ste 213
Philadelphia, PA 19115-2143
Mailing address
9880 Bustleton Ave Ste 213
Philadelphia, PA 19115-2143
Phone (215) 464-4888
National Provider Directory
National Provider DirectoryLocations
9880 Bustleton Ave
Ste 213
Philadelphia, PA 19115
Phone (215) 464-4888
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.
-
- General Practice Dentistry
- Drexel Hill, PA
- NPI 1710502018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546387200000",
"number": "1972074250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9880 BUSTLETON AVE STE 213",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152143",
"telephone_number": "215-464-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 BUSTLETON AVE STE 213",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191152143",
"telephone_number": "215-464-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER ONE DENTAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-11",
"last_updated": "2019-01-02",
"status": "A",
"authorized_official_last_name": "MOVALIA",
"authorized_official_first_name": "JATIN",
"authorized_official_title_or_position": "MANAGER/PRESIDENT",
"authorized_official_telephone_number": "215-673-4888",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MANAGER"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Center for Sleep Medicine, PC (Center for Sleep Medicine)
- Center One Community Team
- Center One Community Team
- Center One Community Team
- Center Pharmacy of Erie Ave., Inc
- Centerpoint Healthcare Services
- Kayla Centone
- Shannon K Centore, LMFT
- Central City Eyecare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.