NPIMap

Organization Active NPI

Elena Ogan DMD, LLC

  • Dental Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1972994010
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS039391 Issued in PA
Legal business name
ELENA OGAN DMD, LLC
Practice address
10431 Academy Rd
Suite K
Philadelphia, PA 19114-1137
Phone
(215) 632-8380
NPI assigned
Feb 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Elena Ogan, DMDNPI 1851532568
Title
Dentist/ Owner
Phone
(215) 632-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS039391 PA Primary

Addresses

Primary practice location

10431 Academy Rd
Suite K
Philadelphia, PA 19114-1137

Mailing address

10431 Academy Rd
Suite K
Philadelphia, PA 19114-1137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1972994010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD",
            "address_2": "SUITE K",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 ACADEMY RD",
            "address_2": "SUITE K",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141137",
            "telephone_number": "215-632-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA OGAN DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "OGAN",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "215-632-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS039391",
            "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 Feb 11, 2015; 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.