DR. JESSE JAMES SMITH (NPI# 1356671929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356671929 |
Entity Type | Individual |
Full Name | DR. JESSE JAMES SMITH |
Credential | D.D.S. |
Practice Address |
7515 Stenton Ave Philadelphia PA 19150-3710 |
Practice Telephone | 2152761222 |
Practice Fax Number | 2152761222 |
Mailing Telephone | 2152761222 |
Mailing Fax Number | 2152761222 |
Enumeration Date | 2010-01-05 |
Last Update Date | 2010-01-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS-21307-L | PA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
1881821049 | Jesse Smith | Marriage & Family Therapist | 2288 Autumn Fire Ct, Las Vegas, NV 89117-8956 | 2009-06-15 |
1780838268 | Jesse Sawyer Smith | Occupational Therapist | 47 Old Post Rd N, Red Hook, NY 12571-2261 | 2008-11-10 |
1013091859 | Jesse C. Smith Jr. | Physical Therapist | 106a Woodland Dr, Lancaster, SC 29720 | 2006-10-25 |
1144845140 | Jesse Gerald Smith IIi | Day Training/Habilitation Specialist | 1401 S Seward Meridian Pkwy # Abc, Wasilla, AK 99654-8312 | 2020-06-15 |
1972162063 | Jesse Marie Smith | Speech-Language Pathologist | 235 E 9th Ave, Anchorage, AK 99501-7501 | 2019-06-12 |
1144799628 | Jesse J Smith | Peer Specialist | 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 | 2018-11-14 |
1174099170 | Jesse Enoch Smith | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-10-17 |
1508358177 | Jesse Smith | Dentist | 441 Marshall Dr, Saint Robert, MO 65584 | 2018-05-30 |
1508391236 | Jesse Kyle Smith | Psychiatry & Neurology | 920 Stanton L Young Blvd, G. Rainey Williams Pavillion 3rd Floor, Oklahoma City, OK 73104-5036 | 2017-05-01 |
Street Address |
7515 STENTON AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19150-3710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376689380 | Melvin Z Twersky | Family Medicine | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2007-01-29 |
1629695036 | Paul Mensah | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2020-07-01 |
1669011904 | Rogeline Jean | Family Medicine | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2020-01-03 |
1851945935 | Jessy Palathinkal | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2019-07-28 |
1912563057 | Florette Dorvil | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2019-05-14 |
1760951131 | Vanessa Exama Molin | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2018-11-15 |
1447746961 | Nice Joseph Thomas | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2018-07-09 |
1730636093 | Abieyuwa Orumwense | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2016-09-04 |
1760936306 | Christine Supplee | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2016-08-11 |
1164872701 | Roseline Iyabode Adunbarin | Nurse Practitioner | 7515 Stenton Ave, Philadelphia, PA 19150-3710 | 2016-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821589615 | Covenant House, Inc | Clinic/Center | 2385 W Cheltenham Ave., Philadelphia, PA 19150 | 2018-05-29 |
1326553074 | Prime Health Pharmacy LLC | Pharmacy | 1514 Wadsworth Ave, Philadelphia, PA 19150 | 2017-12-04 |
1609319797 | Ivy Hill Rehab Center LLC | Skilled Nursing Facility | 140 Ivy Hill Road, Wyndmoor, PA 19150 | 2016-11-22 |
1831563857 | Kutest Kids | Early Intervention Provider Agency | 7811 Cedarbrook Avenue, Philadelphia, PA 19150 | 2015-11-16 |
1487044020 | Stefanie Black | Pharmacy Technician | 2527 Target Pharmacy, Philadelphia, PA 19150 | 2015-02-04 |
1003206590 | Fatima Jackson | Pharmacy Technician | 2527 Shoppers Lane, Cheltenham Square Mall, Philadelphia, PA 19150 | 2015-02-04 |
1215351762 | Hilltop Medical Associates, PC | General Practice | 2350 W. Cheltenham Ave, Philadelphia, PA 19150 | 2014-02-04 |
1801219472 | Fatima Bangura | Registered Nurse | Excel Medical Center, LLC, 7515 Stenton Avenue, Philadelphia, PA 19150 | 2014-02-01 |
1386082089 | Enjalee Jennifer Thomas-finnagan | Behavioral Analyst | 8324 Temple Rd, Phila, PA 19150 | 2013-06-05 |
1235572538 | Blessy Mathew | Nurse Practitioner | 2385 Cheltenham Avenue, Philadelphia, PA 19150 | 2013-04-17 |
Find all providers in zip 19150 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235544008 | Lauren Julie Harper | Dentist | 8566 Bustleton Ave, Philadelphia, PA 19152-1218 | 2014-06-30 |
1871933036 | Mara Teplitsky | Dentist | 1616 Walnut St Apt 401, Philadelphia, PA 19103-5323 | 2013-07-02 |
1457799165 | Ross Andrew Levine | Dentist | 100 E. Lehigh Ave, Pedatric Dental Associates, Philadelphia, PA 19125 | 2013-06-05 |
1356570352 | Rosana Rosentrater | Dentist | 240 South 40th St Suite F-17, University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104-6003 | 2009-07-11 |
1790935898 | Monika Srivastava | Dentist | 1352 South St # C5c4, Philadelphia, PA 19147-1858 | 2008-09-25 |
1255594842 | Dana Kristanne Chianese | Dentist | 2301 E Allegheny Ave Ste 201, Philadelphia, PA 19134-4427 | 2008-07-03 |
1548464761 | George Thomas Lynch Iv | Dentist | 1352 South St, C5, Philadelphia, PA 19147-1858 | 2007-06-12 |
1053513614 | Rajbir Sanghvi | Dentist | 1835 Arch St Apt 903, Philadelphia, PA 19103-2779 | 2007-06-04 |
1477631562 | Howard Marvin Rosenberg | Dentist | 4001 Spruce St, Pediatric Dentistry, Philadelphia, PA 19104-4118 | 2006-11-02 |
1669402517 | Douglas Richard Reich | Dentist | 7122 Rising Sun Ave, Philadelphia, PA 19111-3957 | 2006-07-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19150 |
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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.