Active NPI
Robert J Shimborski, DDS
- General Practice Dentistry
- Langhorne, PA
National Provider Identifier
1245391382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS020424L
- Practice address
- 123 W Maple Ave
Langhorne, PA 19047-2130 - Phone
- (215) 757-2151
- Fax
- (215) 757-6341
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS020424L | PA | Primary |
Addresses
Primary practice location
123 W Maple Ave
Langhorne, PA 19047-2130
Mailing address
123 W Maple Ave
Langhorne, PA 19047-2130
Phone (215) 757-2151
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 |
|---|---|---|---|
| DS020424L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245391382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W MAPLE AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190472130",
"telephone_number": "215-757-2151",
"fax_number": "215-757-6341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W MAPLE AVE",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190472130",
"telephone_number": "215-757-2151",
"fax_number": "215-757-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIMBORSKI",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS020424L",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.