Individual provider Active NPI

Brian E Handel, D.D.S

  • Dentist
  • Wayne, PA
National Provider Identifier
1972789253
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025722 Issued in PA
Practice address
295 Old Eagle School Rd
Wayne, PA 19087-2609
Phone
(610) 293-1227
Fax
(610) 688-1896
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS025722 PA Primary

Addresses

Primary practice location

295 Old Eagle School Rd
Wayne, PA 19087-2609

Mailing address

295 Old Eagle School Rd
Wayne, PA 19087-2609
Phone (610) 293-1227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622001670 PA Order and Referring Only - DentistPractitioner - Dentist 8527379288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025722PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1972789253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 OLD EAGLE SCHOOL RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872609",
            "telephone_number": "610-293-1227",
            "fax_number": "610-688-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 OLD EAGLE SCHOOL RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872609",
            "telephone_number": "610-293-1227",
            "fax_number": "610-688-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDEL",
        "first_name": "BRIAN",
        "middle_name": "E",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.