1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Dentist
  6. NPI Profile

NORTHEASTERN DENTISTRY AT COTTMAN
NPI 1306141080
Dentist - General Practice in Philadelphia, PA

Active since January 11, 2011
1936 COTTMAN AVE, 2ND FLOOR, PHILADELPHIA, PA 19111(215) 728-0777(877) 707-5571 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeastern Dentistry At Cottman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEASTERN DENTISTRY AT COTTMAN (NPI 1306141080) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since January 2011. The organization lists Kavitha Chadhalavada, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1306141080
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHEASTERN DENTISTRY AT COTTMAN
Location Address1936 COTTMAN AVE, 2ND FLOORPhiladelphia, PA 19111-3800
Mailing Address1936 Cottman Ave, 2nd FloorPhiladelphia, PA 19111-3800 · (215) 728-0777 · Fax (877) 707-5571
Phone(215) 728-0777
Fax(877) 707-5571
Organization SubpartNo
Authorized OfficialKavitha ChadhalavadaOwner Dentist · (856) 325-0560
Enumeration DateJanuary 11, 2011
Last NPPES UpdateJuly 30, 2013
✔ NPI 1306141080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS037335
Definition
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.
1936 COTTMAN AVE, Philadelphia, PA 19111
Open in Google Maps ↗

Other Identifiers 1

Medicaid1020256650006PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN Y KIM
Dentist
1936 COTTMAN AVE
PHILA, PA 19111
Philadelphia County (215) 728-0777
WELDON LTD
Optometrist
1936 COTTMAN AVE
PHILA, PA 19111
Philadelphia County (215) 742-1400
DR. LEMUEL PIDLAON DDS
Dentist (General Practice)
1936 COTTMAN AVE, 2ND FL
PHILADELPHIA, PA 19111
Philadelphia County (215) 549-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeastern Dentistry At Cottman's NPI number?

The NPI number for Northeastern Dentistry At Cottman is 1306141080. It was assigned to this organization in the NPPES registry on January 11, 2011.

Where is Northeastern Dentistry At Cottman located?

Northeastern Dentistry At Cottman is located at 1936 Cottman Ave 2nd Floor, Philadelphia, PA 19111. The listed phone number is (215) 728-0777.

What is Northeastern Dentistry At Cottman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Northeastern Dentistry At Cottman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Northeastern Dentistry At Cottman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeastern Dentistry At Cottman was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.