Robert a Petcash DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

027733 Issued in PA

Legal business name

ROBERT A PETCASH DMD PC

Practice address

2879 W Hardies Rd
Gibsonia, PA 15044-8203

Phone

(724) 444-7770

Fax

(724) 444-7676

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Petcash, DMDNPI 1699739300

Title

Ceo

Phone

(724) 444-7770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert A. Petcash, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Gibsonia, PA
  • NPI 1699739300
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1295097442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2879 W HARDIES RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448203",
            "telephone_number": "724-444-7770",
            "fax_number": "724-444-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 W HARDIES RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448203",
            "telephone_number": "724-444-7770",
            "fax_number": "724-444-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A PETCASH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "PETCASH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-444-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "027733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. Lynn Rickert, PH.D.
• Rita'S Home Care Agency
• Rite Aid of Pennsylvania, LLC
• Maria C Rivero, RN
• Michael Lewis Rizzo, ATC
• Kathryn Roberts, MOTR/L
• Jenna Rosenbauer
• Samantha Rosswog
• Jordan Rozich, DC
• Mark Ruediger

• Oral and Maxillofacial Surgery (Dentist) in Gibsonia, PA
• Providers in Gibsonia, 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 Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.