Robert J Spennato, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

027014 Issued in PA

Practice address

601 Williamsburg Dr
Broomall, PA 19008-3428

Phone

(610) 353-2700

Fax

(610) 353-5528

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Williamsburg Dental of Pennsylvania, P.C.

  • General Practice Dentistry
  • Broomall, PA
  • NPI 1558171876
  NPD (past)
• Williamsburg Dental, P.C.

  • General Practice Dentistry
  • Broomall, PA
  • NPI 1942418363
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124236583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WILLIAMSBURG DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083428",
            "telephone_number": "610-353-2700",
            "fax_number": "610-353-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WILLIAMSBURG DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083428",
            "telephone_number": "610-353-2700",
            "fax_number": "610-353-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENNATO",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "027014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NONPART",
            "identifier": "051555",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Soltys-Meletti, CRNP
• Linda Rose Spadaro
• Janet Sue Specter, M.D.
• Spectra Support Services, LLC
• Kyra Spencer, OTR/L
• Joseph Spina II, M.D.
• John D Sprandio, M.D.
• John D. Sprandio Jr., MD
• Dimitra Stafilidis, APRN, FNP-C
• Elizabeth Marie Staiber

• General Practice Dentistry in Broomall, PA
• Providers in Broomall, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.