Organization Active NPI

Center One Dental Associates PC

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1972074250
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jan 2, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.