Active NPI
Russel T Bechtloff DDS
- Pediatric Dentistry
- Langhorne, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- RUSSEL T BECHTLOFF DDS
- Practice address
- 400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310 - Phone
- (215) 750-1717
- Fax
- (215) 750-6109
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 22, 2020
- 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 T Bechtloff, DDS
- Title
- Owner
- Phone
- (215) 750-1717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Mailing address
400 N Buckstown Rd
Suite 1C
Langhorne, PA 19047-8310
Phone (215) 750-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 987639 | Other | PA | UNITED CONCORDIA |
National Provider Directory
National Provider Directory- Tax ID family
- Pennsbury Childrens Dental Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Langhorne, PA
- NPI 1740320308
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Langhorne, PA
- NPI 1205972197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437298247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N BUCKSTOWN RD",
"address_2": "SUITE 1C",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478310",
"telephone_number": "215-750-1717",
"fax_number": "215-750-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BUCKSTOWN RD",
"address_2": "SUITE 1C",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "190478310",
"telephone_number": "215-750-1717",
"fax_number": "215-750-6109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUSSEL T BECHTLOFF DDS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BECHTLOFF",
"authorized_official_first_name": "RUSSEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-750-1717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "987639",
"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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.