Active NPI
Otero Enterprises
Doing business as Emergency Dentist
- Dentist
- Philadelphia, PA
National Provider Identifier
1982049011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Periodontics
- Philadelphia, PA
- NPI 1710275284
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Raleigh, NC
- NPI 1720362767
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.