Individual provider Active NPI

Michael G Greenberg, DMD

  • General Practice Dentistry
  • Royersford, PA
National Provider Identifier
1235125253
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS021479L Issued in PA
Practice address
301 N Lewis Rd
Suite 25
Royersford, PA 19468-1531
Phone
(610) 948-0531
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS021479L PA Primary

Addresses

Primary practice location

301 N Lewis Rd
Suite 25
Royersford, PA 19468-1531

Mailing address

301 N Lewis Rd
Suite 25
Royersford, PA 19468-1531
Phone (610) 948-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150623000926 AZ Order and Referring Only - DentistPractitioner - Dentist 8325359946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS021479LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Royersford Dental Care Inc. General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1235125253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N LEWIS RD",
            "address_2": "SUITE 25",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531",
            "telephone_number": "610-948-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N LEWIS RD",
            "address_2": "SUITE 25",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681531",
            "telephone_number": "610-948-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021479L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royersford, PA

Sources for this page

Verify at the official NPI Registry.