Individual provider Active NPI

Robert Leon Elkind, DMD

  • Dentist
  • Media, PA
National Provider Identifier
1306631478
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS045123 Issued in PA
Practice address
511 N Providence Rd
Media, PA 19063-2599
Phone
(610) 565-0525
NPI assigned
Apr 10, 2025
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616003846 LA Order and Referring Only - DentistPractitioner - Dentist 2961913009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS045123PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.