PHILADELPHIA ORTHODONTICS, PC (NPI# 1154660322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154660322 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA ORTHODONTICS, PC |
| Practice Address |
1420 Walnut St Suite 518 Philadelphia PA 19102-4017 |
| Practice Telephone | 2155675949 |
| Practice Fax Number | 2155671517 |
| Mailing Telephone | 2155675949 |
| Mailing Fax Number | 2155671517 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | DR. JOSHUA DAVIS (OWNER/ORTHODONTIST) |
| Authorized Official Telephone | 2155675949 |
| Authorized Official Credential | DMD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS038084 | PA | Dental Providers |
| Street Address |
1420 WALNUT ST SUITE 518 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417938788 | Nilkanthrai M Mankad | Dentist | 1420 Walnut St, Suite 518, Philadelphia, PA 19102-4017 | 2005-11-14 |
| 1508467390 | Jaleesa Staten | Behavior Technician | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2020-11-06 |
| 1932682770 | Christopher Richards | Counselor | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2018-09-07 |
| 1437651833 | Kristin Marie Dalzell | Marriage & Family Therapist | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2018-03-02 |
| 1528576329 | Vicki Tornetta | Counselor | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2018-01-15 |
| 1396259511 | Jason Herwick | Counselor | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2017-11-27 |
| 1275059974 | Martita Salley Togba | Social Worker | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2017-08-15 |
| 1467991687 | Alicia Schirato | Counselor | 1420 Walnut St, Philadelphia, PA 19102-4017 | 2017-02-21 |
| 1124564570 | Michelle Hilton | Counselor | 1420 Walnut St, Suite 500, Philadelphia, PA 19102-4017 | 2017-01-10 |
| 1831646918 | Jamilah Gray | Counselor | 1420 Walnut St, Suite 1350, Philadelphia, PA 19102-4017 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1023665601 | Holly Gray | Dentist | 1812 Fitzwater St, Philadelphia, PA 19146-1852 | 2019-08-20 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1447743356 | Alexandra Greco | Dentist | 834 Chestnut St Ste M209, Philadelphia, PA 19107-5114 | 2018-06-14 |
| 1952852329 | Hyeran Helen Jeon | Dentist | 240 S. 40th Street, Dental @ Locust Walk, Philadelphia, PA 19104 | 2016-10-20 |
| 1801261524 | Harold Slutsky, D.m.d., P.C. | Dentist | 7100 Frankford Ave, Philadelphia, PA 19135-1009 | 2015-12-07 |
| 1225419658 | Sheila Othman | Dentist | 100 S Broad St Ste 1530, Philadelphia, PA 19110-1026 | 2015-06-11 |
| 1174926752 | Orozcodontics, PC | Dentist | 8705 Germantown Ave, Ste A, Philadelphia, PA 19118-2720 | 2014-09-26 |
| 1588076178 | Hanel Ariel Choi | Dentist | 100 S. Broad St. Suite 1530, Philadelphia, PA 19110 | 2014-05-29 |
| 1790127223 | Jerome H Sklaroff | Dentist | 1919 Chestnut St Apt 1005, Philadelphia, PA 19103-3414 | 2013-07-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.