JAMES LAVALLA (NPI# 1407900012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407900012 |
| Entity Type | Individual |
| Full Name | JAMES LAVALLA |
| Credential | DS |
| Practice Address |
626 Snyder Ave Phila PA 19148-2419 |
| Mailing Address |
432 N 6th St Phila PA 19123-4004 |
| Practice Telephone | 2153344900 |
| Practice Fax Number | 2153349721 |
| Mailing Telephone | 2159252400 |
| Mailing Fax Number | 2159254201 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS015432L | PA | Dental Providers |
| Street Address |
626 SNYDER AVE |
| City | PHILA |
| State | PA |
| Zip Code | 19148-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154475853 | Robert Beadle | Dentist | 626 Snyder Ave, Phila, PA 19148-2419 | 2007-01-22 |
| 1588718183 | Lakecia Graham | Dental Hygienist | 626 Snyder Ave, Phila, PA 19148-2419 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710236 | Patelka Dental Management At Torresdale LLC | Dentist | 6101 Torresdale Ave, 1st Floor, Phila, PA 19135-3717 | 2016-06-03 |
| 1346579968 | Thomas Upsitur King IIi | Dentist | 1725 W. Erie Ave., Phila, PA 19140-3544 | 2009-12-10 |
| 1821239542 | Dr Young & Associates | Dentist | 924 Arch St Bsmt, Phila, PA 19107-3100 | 2009-03-09 |
| 1689855603 | Ruth Fremont | Dentist | 5828b Market St, 2nd Floor, Phila, PA 19139-3114 | 2007-11-19 |
| 1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
| 1780804187 | Oleg Genis | Dentist | 8541 Bustleton Ave, Second Floor, Phila, PA 19152-1215 | 2007-04-26 |
| 1659595528 | Jeffrey David Glen | Dentist | 5224 Ridge Ave, Phila, PA 19128-3712 | 2007-04-12 |
| 1013130962 | Michael Anthony Slawek | Dentist | 413 Lyceum Ave, Phila, PA 19128-3418 | 2007-04-10 |
| 1568586725 | Jules Feinberg | Dentist | 6410 Rising Sun Ave, Phila, PA 19111-5229 | 2007-03-16 |
| 1780715433 | Stanley Dubin | Dentist | 2901 Secane Dr, Phila, PA 19154-1329 | 2007-03-07 |
| Find all providers in PHILA | ||||
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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.