Active NPI
Russel S. Bleiler, III DMD PC
- Oral and Maxillofacial Surgery (Dentist)
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RUSSEL S. BLEILER, III DMD PC
- Practice address
- 360 Middletown Blvd
Suite 406
Langhorne, PA 19047-1863 - Phone
- (215) 752-4646
- Fax
- (215) 752-4650
- NPI assigned
- Jan 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Russel S. Bleiler III
- Title
- DMD
- Phone
- (215) 752-4646
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
360 Middletown Blvd
Suite 406
Langhorne, PA 19047-1863
Mailing address
360 Middletown Blvd
Suite 406
Langhorne, PA 19047-1863
Phone (215) 752-4646
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 909146 | Other | PA | HIGHMARK PROVIDER NUMBER |
| 061352 | Other | PA | MEDICARE PROVIDER NUMBER |
| 0354846000 | Other | PA | IBC PROVIDER NUMBER |
| 2653716 | Other | PA | AETNA PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
360 Middletown Blvd
Ste 306
Langhorne, PA 19047
Phone (215) 752-4646
360 Middletown Blvd
Ste 406
Langhorne, PA 19047
Phone (215) 752-4646
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Langhorne, PA
- NPI 1205842069
-
- Oral and Maxillofacial Surgery (Dentist)
- Langhorne, PA
- NPI 1336322197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282780800000",
"number": "1427235944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MIDDLETOWN BLVD",
"address_2": "SUITE 406",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471863",
"telephone_number": "215-752-4646",
"fax_number": "215-752-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MIDDLETOWN BLVD",
"address_2": "SUITE 406",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190471863",
"telephone_number": "215-752-4646",
"fax_number": "215-752-4650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSEL S. BLEILER, III DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-28",
"last_updated": "2010-08-26",
"status": "A",
"authorized_official_last_name": "BLEILER",
"authorized_official_first_name": "RUSSEL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "DMD",
"authorized_official_telephone_number": "215-752-4646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PROVIDER NUMBER",
"identifier": "909146",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "061352",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC PROVIDER NUMBER",
"identifier": "0354846000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2653716",
"state": "PA"
}
],
"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 Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.