Organization Active NPI

Otero Enterprises

Doing business as Emergency Dentist

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1982049011
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OTERO ENTERPRISES
Doing business as
Emergency Dentist
Practice address
220 S 16TH St
Suite 901
Philadelphia, PA 19102-3322
Phone
(215) 545-2600
Fax
(215) 545-4107
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mr. Abraham Otero
Title
Owner
Phone
(267) 736-0831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

220 S 16TH St
Suite 901
Philadelphia, PA 19102-3322

Mailing address

220 S 16TH St
Suite 901
Philadelphia, PA 19102
Phone (215) 545-2600

Other names 1

  • Emergency Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

1429 Walnut St
Fl 6
Philadelphia, PA 19102
Phone (215) 223-5555

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": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1982049011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S 16TH ST",
            "address_2": "SUITE 901",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19102",
            "telephone_number": "215-545-2600",
            "fax_number": "215-545-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 16TH ST",
            "address_2": "SUITE 901",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023322",
            "telephone_number": "215-545-2600",
            "fax_number": "215-545-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-736-0831",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 2, 2013; 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.