Robert L. Daschbach, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO23360-L Issued in PA

Practice address

390 Harleysville Pike
Souderton, PA 18964-2100

Phone

(215) 721-8811

Fax

(215) 721-5393

NPI assigned

Nov 1, 2006

Last updated

Nov 7, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1003993700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HARLEYSVILLE PIKE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642100",
            "telephone_number": "215-721-8811",
            "fax_number": "215-721-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HARLEYSVILLE PIKE",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642100",
            "telephone_number": "215-721-8811",
            "fax_number": "215-721-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASCHBACH",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO23360-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Leroy Cruickshank, PTA
• Carolyn Ann Cunnane, OTRL
• Anne Marie Czerwonka, LPT
• Anthony D'Alonzo, PT DPT
• Timothy Matthew Daly, D.O.
• Adam David Declerico, MSPT
• Deluca Chiropractic, LLC (Alliance Chiropractic)
• Trista Marie Deluca, D.C.
• Emily Depaul, MPH, MA, LPC
• Katherine Lillie Desanctis Moyer, LPC, RN

• General Practice Dentistry in Souderton, PA
• Providers in Souderton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.