Individual provider Active NPI

Robert A Delie, DMD, MDS

  • Periodontics
  • Buckingham, PA
National Provider Identifier
1114926706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS 029581-L Issued in PA
Practice address
2547 Holicong Road
582
Buckingham, PA 18912
Phone
(412) 760-8070
NPI assigned
Jul 18, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS 029581-L PA Primary

Addresses

Primary practice location

2547 Holicong Road
582
Buckingham, PA 18912

Mailing address

2547 Holicong Road
PO Box 582
Buckingham, PA 18912
Phone (412) 760-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231003002556 PA Practitioner - Dentist 0648624064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 029581-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Silvana Cumani DMD and Associates PC CurrentSince Sep 1, 2023 Accepting new patients

Locations

2675 E Cumberland St
Philadelphia, PA 19125
Phone (215) 426-7307

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114926706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 HOLICONG ROAD",
            "address_2": "PO BOX 582",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "18912",
            "telephone_number": "412-760-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2547 HOLICONG ROAD",
            "address_2": "582",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "18912",
            "telephone_number": "412-760-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DMD, MDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS 029581-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckingham, PA

Sources for this page

Verify at the official NPI Registry.