Organization Active NPI

Russel S. Bleiler, III DMD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Langhorne, PA
National Provider Identifier
1427235944
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
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

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. Russel S. Bleiler IIINPI 1205842069
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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
909146OtherPAHIGHMARK PROVIDER NUMBER
061352OtherPAMEDICARE PROVIDER NUMBER
0354846000OtherPAIBC PROVIDER NUMBER
2653716OtherPAAETNA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.