Robert Eugene Noga, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025224L Issued in PA

Practice address

2201 Penn Ave
West Lawn, PA 19609-1649

Phone

(610) 678-9886

Fax

(610) 678-9954

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467529651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 MARCOR DRIVE",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081048",
            "telephone_number": "610-670-9638",
            "fax_number": "610-678-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PENN AVE",
            "city": "WEST LAWN",
            "state": "PA",
            "postal_code": "196091649",
            "telephone_number": "610-678-9886",
            "fax_number": "610-678-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGA",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025224L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leroy Moyer Jr., ATC
• Kyle John Moyer, MS, LAT, ATC
• Ryan Gordon Moyer, DR
• Tina Marie Newcomb, LMT
• Nexstep Inc.
• Kara Colleen Noon, CRNP
• Christopher Michael Palamar, PHARMD.
• Pennsylvania Dermatology Partners Inc
• Joseph Daniel Pfeifer
• Psychedelic Healthcare Inc

• General Practice Dentistry in West Lawn, PA
• Providers in West Lawn, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.