Active NPI
Russel T Bechtloff, D.D.S.
- Pediatric Dentistry
- Langhorne, PA
National Provider Identifier
1205972197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DSO17971L
- Practice address
- 400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310 - Phone
- (215) 750-1717
- Fax
- (215) 750-6109
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DSO17051L | PA | |
| Pediatric Dentistry | 1223P0221X | DSO17971L | PA | Primary |
Addresses
Primary practice location
400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Mailing address
400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Phone (215) 750-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DSO17971L | PA | MD | Pediatric Dentist |
| DSO17051L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205972197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N BUCKSTOWN RD",
"address_2": "SUITE 1C",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478310",
"telephone_number": "215-750-1717",
"fax_number": "215-750-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BUCKSTOWN RD",
"address_2": "SUITE 1C",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478310",
"telephone_number": "215-750-1717",
"fax_number": "215-750-6109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECHTLOFF",
"first_name": "RUSSEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DSO17051L",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DSO17971L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langhorne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.