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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NORIKO ETOH DDS. MDSC.
NPI 1366162000
Dentist - Periodontics in Philadelphia, PA

Active since September 01, 2022PECOS Enrolled
3223 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2900 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, Jan 30, 2023, Sep 1, 2022 (3 updates tracked since 2022).

About Noriko Etoh Dds. Mdsc. NPPES

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

NORIKO ETOH DDS. MDSC. (NPI 1366162000) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (RFD000089) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366162000
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameNORIKO ETOHCredential: DDS. MDSC.
Location Address3223 N BROAD STPhiladelphia, PA 19140-5007
Mailing Address416 Spring Garden St Apt 710Philadelphia, PA 19123-4482 · (516) 860-3375
Phone(215) 707-2900
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1366162000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · RFD000089
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3223 N BROAD ST, Philadelphia, PA 19140
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noriko Etoh Dds. Mdsc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

JOHN PAUL FRIEL JR. DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-0115
LEONA SPERRAZZA DDS
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2995
DR. MARK WILLIAM ELICE DMD
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2890
MARIA VERA RODRIGUEZ DDS.MSC.PHD
Dentist (Periodontics)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (734) 277-0477
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Anesthesiology
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900
JIN XIA JIANG DMD
Dentist (General Practice)
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2931
DR. ARMIN MEHDIZADEH-SHRIFI DDS
Dentist
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (210) 552-2199
MIGUEL HERNANDEZ
Student in an Organized Health Care Education/Training Program
3223 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2900

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 Noriko Etoh's NPI number?

The NPI number for Noriko Etoh is 1366162000. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Noriko Etoh located?

Noriko Etoh practices at 3223 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-2900.

What is Noriko Etoh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Noriko Etoh enrolled in Medicare?

Yes. Noriko Etoh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Noriko Etoh was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.