NPIMap

Individual provider Active NPI

Robert David Mogyoros, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Elkins Park, PA
National Provider Identifier
1407061161
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS035811 Issued in PA
Practice address
401 Township Line Rd
Suite C
Elkins Park, PA 19027-2202
Phone
(215) 379-3382
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS035811 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS035811 PA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9437 CO

Addresses

Primary practice location

401 Township Line Rd
Suite C
Elkins Park, PA 19027-2202

Mailing address

401 Township Line Rd
Elkins Park, PA 19027-2202
Phone (215) 379-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001749 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0749501948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Univ of Pennsylvania School of Dental Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

401 Township Line Rd
Suite C
Elkins Park, PA 19027-2202
Phone (215) 379-3382

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9437COMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Philadelphia Oral Surgery PC CurrentSince Jan 12, 2017 Accepting new patients
Greater Philadelphia Oms LLC Oral and Maxillofacial Surgery PastSince Jan 12, 2017 Accepting new patients

Locations

401 Township Line Rd
Ste C
Elkins Park, PA 19027
Phone (215) 379-3382

234 Mall Blvd
Ste 180
King of Prussia, PA 19406
Phone (484) 231-1177

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1407061161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-379-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TOWNSHIP LINE RD",
            "address_2": "SUITE C",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272202",
            "telephone_number": "215-379-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGYOROS",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035811",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035811",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "9437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.