NPIMap

Organization Active NPI

Oral & Maxillofacial Surgical Associates

Doing business as Commonwealth Oral and Facial Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansdale, PA
National Provider Identifier
1518983121
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES
Doing business as
Commonwealth Oral and Facial Surgery & Dental Implant Center
Oral and Maxillofacial Surgical Associates
Practice address
2100 N Broad St
Ste 106
Lansdale, PA 19446-1052
Phone
(215) 368-8104
Fax
(215) 368-3711
NPI assigned
Jul 15, 2006
Last updated
Jul 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Roger Paul Spampata, D.M.DNPI 1710903018
Title
Owner
Phone
(215) 368-8104

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) 1223S0112X NU Primary

Addresses

Primary practice location

2100 N Broad St
Ste 106
Lansdale, PA 19446-1052

Mailing address

2100 N Broad St
Ste 106
Lansdale, PA 19446-1052
Phone (215) 368-8104

Other names 2

  • Commonwealth Oral and Facial Surgery & Dental Implant Center Doing business as
  • Oral and Maxillofacial Surgical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000739 PA Part B Supplier - Clinic/Group Practice 7012990807 Receives reassigned benefits from 6 practitioners
Practice locations: Quakertown, PA; Plymouth Meeting, PA; Horsham, PA; Harleysville, PA; Lansdale, PA; Erdenheim, PA

National Provider Directory

National Provider Directory

Locations

813 Bethlehem Pike
Ste 100
Erdenheim, PA 19038
Phone (215) 233-2590

672 Main St
Ste A
Harleysville, PA 19438
Phone (215) 256-0405

619 Horsham Rd
Horsham, PA 19044
Phone (215) 674-4400

2100 N Broad St
Ste 106
Lansdale, PA 19446
Phone (215) 368-8104

920 Germantown Pike
Ste 120
Plymouth Meeting, PA 19462
Phone (610) 239-2495

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1518983121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE 106",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-8104",
            "fax_number": "215-368-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE 106",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461052",
            "telephone_number": "215-368-8104",
            "fax_number": "215-368-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SPAMPATA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-368-8104",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Oral and Facial Surgery & Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral and Maxillofacial Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.