DR. ANU NELLISSERY (NPI# 1962895706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962895706 |
| Entity Type | Individual |
| Full Name | DR. ANU NELLISSERY |
| Credential | D.M.D |
| Practice Address |
3554 Hulmeville Rd Suite 110 Bensalem PA 19020-4366 |
| Practice Telephone | 2153839800 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040300 | PA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS040300 | PA | Dental Providers |
| Street Address |
3554 HULMEVILLE RD SUITE 110 |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020-4366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200593 | Vincent Larosa | Legal Medicine | 3554 Hulmeville Rd, Suite 101, Bensalem, PA 19020-4366 | 2006-01-20 |
| 1649720863 | Foot and Ankle Specialists of Bucks County, LLC | Podiatrist | 3554 Hulmeville Rd, Suite 104, Bensalem, PA 19020-4366 | 2016-10-12 |
| 1487024964 | Hulmeville Rd Pharmacy Inc | Pharmacy | 3554 Hulmeville Rd, Suite 108, Bensalem, PA 19020-4366 | 2015-09-28 |
| 1932459914 | Dedicated Doctors, P.C. | Family Medicine | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2012-09-17 |
| 1003119314 | Elizabeth Mary O'brien | Physician Assistant | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2010-12-08 |
| 1891003224 | Lauren Busfield | Social Worker | 3554 Hulmeville Rd, Bensalem, PA 19020-4366 | 2010-09-20 |
| 1053631689 | Fountain Health Inc. | Psychiatry & Neurology | 3554 Hulmeville Rd, Suite 108, Bensalem, PA 19020-4366 | 2010-06-05 |
| 1558697201 | Rich Orthodontics, LLC | Dentist | 3554 Hulmeville Rd, 110, Bensalem, PA 19020-4366 | 2009-10-29 |
| 1063673317 | Brittania Jennings Lee | Family Medicine | 3554 Hulmeville Rd, Suite 103, Bensalem, PA 19020-4366 | 2008-06-19 |
| 1174796569 | Sonia Kahlon | Dentist | 3554 Hulmeville Rd, Suite 110, Bensalem, PA 19020-4366 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| 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 |
|---|---|---|---|---|
| 1124574033 | Hamid Hashemi | Dentist | 3554 Hulmeville Rd Ste 110, Bensalem, PA 19020-4366 | 2016-08-30 |
| 1063850394 | Sarah S Pavlow | Dentist | 2361 Bristol Rd, Bensalem, PA 19020-6000 | 2013-06-09 |
| 1194874156 | Kellyn Hodges | Dentist | 2212 Street Rd, 2nd Floor, Bensalem, PA 19020-3501 | 2007-01-09 |
| 1558697201 | Rich Orthodontics, LLC | Dentist | 3554 Hulmeville Rd, 110, Bensalem, PA 19020-4366 | 2009-10-29 |
| 1174796569 | Sonia Kahlon | Dentist | 3554 Hulmeville Rd, Suite 110, Bensalem, PA 19020-4366 | 2008-04-08 |
| 1245454370 | Terry A Levitt | Dentist | 3101 Bristol Rd, Bensalem, PA 19020-2168 | 2007-04-12 |
| 1790844082 | Jeremy S Rich | Dentist | 3554 Hulmeville Rd, Suite 110, Bensalem, PA 19020-4366 | 2006-12-06 |
| 1184734238 | David H Reiss | Dentist | 3554 Hulmeville Rd, Suite 110, Bensalem, PA 19020 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668076 | Kellyn W. Hodges, Dmd, Ms, PC | Dentist | 411 Doylestown Rd Unit D, Montgomeryville, PA 18936-9636 | 2020-10-26 |
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
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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.