Active NPI
Michael J. Mundenar, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Yardley, PA
National Provider Identifier
1245252659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS024081L
- Practice address
- 606 Floral Vale Blvd
Yardley, PA 19067-5528 - Phone
- (215) 504-0600
- Fax
- (215) 504-0951
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 22, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS024081L | PA | Primary |
Addresses
Primary practice location
606 Floral Vale Blvd
Yardley, PA 19067-5528
Mailing address
606 Floral Vale Blvd
Yardley, PA 19067-5528
Phone (215) 504-0600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00042493000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 68626 | Other | PA | AETNA ID # |
| 166433 | Other | PA | HIGHMARK/BLUE SHIELD |
| WA190229655 | Other | PA | MEDICARE RR # |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024081L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael J. Mundenar, D.M.D.,P.C. | Oral and Maxillofacial Pathology | Current | Accepting new patients |
Locations
606 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 504-0600
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Yardley, PA
- NPI 1285752881
Oral and Maxillofacial Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790035200000",
"number": "1245252659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675528",
"telephone_number": "215-504-0600",
"fax_number": "215-504-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675528",
"telephone_number": "215-504-0600",
"fax_number": "215-504-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDENAR",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS024081L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "00042493000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID #",
"identifier": "68626",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK/BLUE SHIELD",
"identifier": "166433",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR #",
"identifier": "WA190229655",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.