Active NPI
Robert Leon Elkind, DMD
- Dentist
- Media, PA
National Provider Identifier
1306631478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS045123
- Practice address
- 511 N Providence Rd
Media, PA 19063-2599 - Phone
- (610) 565-0525
- NPI assigned
- Apr 10, 2025
- Last updated
- Oct 8, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS045123 | PA | Primary |
Addresses
Primary practice location
511 N Providence Rd
Media, PA 19063-2599
Mailing address
519 Clarendon CT
Yardley, PA 19067-4775
Phone (917) 968-2901
Other practice location 1
519 Clarendon Ct
Yardley, PA 19067-4775
Phone (917) 968-2901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250616003846 | LA | Order and Referring Only - Dentist | 2961913009 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS045123 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Media Dental Associates DMD LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Media, PA
- NPI 1699231118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1306631478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 CLARENDON CT",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190674775",
"telephone_number": "917-968-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N PROVIDENCE RD",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632599",
"telephone_number": "610-565-0525"
}
],
"practiceLocations": [
{
"address_1": "519 Clarendon Ct",
"address_purpose": "LOCATION",
"city": "Yardley",
"state": "PA",
"postal_code": "190674775",
"country_code": "US",
"telephone_number": "917-968-2901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELKIND",
"first_name": "ROBERT",
"middle_name": "LEON",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-10",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS045123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.