Russel Bleiler III, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS028088L Issued in PA

Practice address

360 Middletown Blvd
Suite 406
Langhorne, PA 19047-1863

Phone

(215) 752-4646

Fax

(215) 752-4650

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Russel S. Bleiler, III DMD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Langhorne, PA
  • NPI 1427235944
  NPD (past) Authorized official
• Oral & Maxillofacial Surgical Associates

  dba Commonwealth Oral and Facial Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansdale, PA
  • NPI 1518983121
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205842069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD",
            "address_2": "SUITE 406",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-752-4646",
            "fax_number": "215-752-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MIDDLETOWN BLVD",
            "address_2": "SUITE 406",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471863",
            "telephone_number": "215-752-4646",
            "fax_number": "215-752-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEILER",
        "first_name": "RUSSEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS028088L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "909146",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "2653716",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Binney
• Amanda M Black, MS,CPRP, L.P.C.
• Burt Ross Blackstone, DO
• Rebecca Blank, DPT
• Darren Blase
• Michael Bluestein
• Lauren Blum, PHARM D
• Deborah Rachel Blumenthal, PH.D.
• Noreen Blyweiss, MA MFT
• BMG Circle of Life, LLC (Always Best Care)

• Oral and Maxillofacial Surgery (Dentist) in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) 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.