DENTISTRY AT 1818 MARKET ST (NPI# 1831642917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831642917 |
| Entity Type | Organization |
| Organization Name | DENTISTRY AT 1818 MARKET ST |
| Practice Address |
1818 Market St Suite 100 Philadelphia PA 19103-3638 |
| Practice Telephone | 2155672666 |
| Mailing Telephone | 2155672666 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | MRS. ELAINE COADY (OFFICE MANAGER) |
| Authorized Official Telephone | 2155672666 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 125K00000X | Advanced Practice Dental Therapist | DS017950 | PA | Dental Providers |
| Street Address |
1818 MARKET ST SUITE 100 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19103-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104963651 | Maurry Leas | Dentist | 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 | 2007-01-31 |
| 1609150846 | Open Systems Healthcare, Inc. | Home Health | 1818 Market St, Suite 2510, Philadelphia, PA 19103-3638 | 2011-10-06 |
| 1972742112 | Kenneth George Young | Social Worker | 1818 Market St, Philadelphia, PA 19103-3638 | 2009-02-11 |
| 1487821138 | Jonathan Siegel | Dentist | 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 | 2008-05-13 |
| 1245364579 | Dentistry At 1818 Market Street | Dentist | 1818 Market St, Suite 100, Philadelphia, PA 19103-3638 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565431 | Allyson Caputa | Behavior Technician | 100 North 18th Street, Suite 300, Philadelphia, PA 19103 | 2020-10-13 |
| 1063062685 | Sarah Seeling | Social Worker | 255 South 17th Street Suite 1010, Suite 1500, Suite 23, Philadelphia, PA 19103 | 2019-09-16 |
| 1730735051 | Jill Verofsky | Counselor | 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 | 2019-08-13 |
| 1932761863 | Barclay Prescription Pharmacy | Pharmacist | 1736 Spruce St, Phila, PA 19103 | 2019-07-01 |
| 1265910459 | Whitney Sue Fricke | Counselor | 2211 Locust St, Philadelphia, PA 19103 | 2018-07-31 |
| 1740784586 | Sara Elizabeth Macintyre | Speech-Language Pathologist | 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 | 2018-03-19 |
| 1326578907 | Danielle D Bercovitch | Speech-Language Pathologist | 1930 S Broad, Philadelphia, PA 19103 | 2017-06-15 |
| 1598114449 | Brooke Elaine Mullen | Dietitian, Registered | 1708 Pine St Apt 1r, Philadelphia, PA 19103 | 2016-06-10 |
| 1972966026 | Alexandra Brady Jatzke | Dietitian, Registered | 1835 Market St Fl 2, Philadelphia, PA 19103 | 2016-04-05 |
| 1932574118 | David Clements Iv | Psychiatry & Neurology | 1845 Walnut St Ste 1540, Philadelphia, PA 19103 | 2015-12-14 |
| Find all providers in zip 19103 | ||||
| Taxonomy Code | 125K00000X |
| Grouping | Dental Providers |
| Classification | Advanced Practice Dental Therapist |
| An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386014140 | Brenda Bosworth | Advanced Practice Dental Therapist | 686 Two Mile Rd, Port Allegany, PA 16743-5018 | 2015-10-05 |
| 1265931703 | Mary Elizabeth Goshorn | Advanced Practice Dental Therapist | 46 Red Hill Ct, Newport, PA 17074-8706 | 2018-02-11 |
| City | PHILADELPHIA |
| Zip Code | 19103 |
Please comment or provide details below to improve the information on DENTISTRY AT 1818 MARKET ST.
| 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.