Active NPI
Adelphia Dental Management
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1992182497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ADELPHIA DENTAL MANAGEMENT
- Practice address
- 1507 W Passyunk Ave
Philadelphia, PA 19145-3029 - Phone
- (215) 259-5655
- Fax
- (267) 553-4444
- NPI assigned
- May 4, 2015
- Last updated
- May 4, 2015
- 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
- Michael Alexander
- Title
- Practice Manager
- Phone
- (215) 259-5655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
1507 W Passyunk Ave
Philadelphia, PA 19145-3029
Mailing address
1507 W Passyunk Ave
Philadelphia, PA 19145-3029
Phone (215) 259-5655
National Provider Directory
National Provider Directory- Tax ID family
- Adelphia Dental Management
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Philadelphia, PA
- NPI 1043696875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430697600000",
"number": "1992182497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 W PASSYUNK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453029",
"telephone_number": "215-259-5655",
"fax_number": "267-553-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 W PASSYUNK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191453029",
"telephone_number": "215-259-5655",
"fax_number": "267-553-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELPHIA DENTAL MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "215-259-5655"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"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 May 4, 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.