JOHN A TAKACS DMD (NPI# 1821519752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821519752 |
Entity Type | Organization |
Organization Name | JOHN A TAKACS DMD |
Practice Address |
1707w Passyunk Ave Philadelphia PA 19145 |
Mailing Address |
333 Queen St Philadelphia PA 19147-3220 |
Practice Telephone | 2152717259 |
Mailing Telephone | 2152879871 |
Enumeration Date | 2017-06-30 |
Last Update Date | 2017-06-30 |
Authorized Official Name | DR. JOHN ALEXANDER TAKACS (OWNER/DENTIST) |
Authorized Official Telephone | 2152717259 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS039780 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UNITED CONCORDIA | 1295156081 | 01 | |
CIGNA | 1295156081 | 01 | |
DELTA DENTAL | 1295156081 | 01 | |
MET LIFE | 1295156081 | 01 | |
HORIZON | 1295156081 | 01 |
Street Address |
1707W PASSYUNK AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
1417271818 | Christopher James Mammola | Physical Therapy Assistant | 1413 W. Moyamensing Ave., Philadelphia, PA 19145 | 2010-03-15 |
Find all providers in zip 19145 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124642897 | Walnut Street Smiles PC | Clinic/Center | 1601 Walnut St Ste 1025, Philadelphia, PA 19102-2911 | 2020-05-29 |
1215574355 | Smile Team PC | Clinic/Center | 9301 Banes St, Philadelphia, PA 19115-4201 | 2019-12-09 |
1558913129 | Advanced Dentistry of Center City | Clinic/Center | 1601 Walnut St Ste 600, Philadelphia, PA 19102-2904 | 2019-07-12 |
1841852241 | Cil Institute Inc | Clinic/Center | 3508 Market St Ste 256, Philadelphia, PA 19104-3320 | 2019-07-05 |
1154982775 | K Dental LLC | Clinic/Center | 6214 Bustleton Avenue, Philadelphia, PA 19149 | 2019-06-25 |
1598221129 | Minard Duka Dmd PC | Clinic/Center | 9501 Hilspach St, Philadelphia, PA 19115-3918 | 2019-02-19 |
1851855993 | Advanced Dentistry of Philadelphia | Clinic/Center | 7501 Stenton Ave, Philadelphia, PA 19150-3710 | 2019-01-23 |
1811468929 | Old City Orthodontics LLC | Clinic/Center | 14 S 3rd Street, 1st Floor, Philadelphia, PA 19106 | 2018-12-16 |
1972074250 | Center One Dental Associates PC | Clinic/Center | 9880 Bustleton Ave Ste 213, Philadelphia, PA 19115-2143 | 2018-12-11 |
1972072908 | City Dental LLC | Clinic/Center | 1100 Washington Ave 2nd Floor, Philadelphia, PA 19147 | 2018-11-20 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19145 |
Please comment or provide details below to improve the information on JOHN A TAKACS DMD.
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.