Individual provider Active NPI

Robert Dan Spielman, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Easton, PA
National Provider Identifier
1558047787
Registry record updated Jan 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI03066500 Issued in NJ
Practice address
2202 Sullivan TRL
Easton, PA 18040-7901
Phone
(610) 810-3511
NPI assigned
Jun 22, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS044936 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI03066500 NJ Primary

Addresses

Primary practice location

2202 Sullivan TRL
Easton, PA 18040-7901

Mailing address

110 Washington St Apt 512a
Bloomfield, NJ 07003-5349
Phone (415) 690-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044936PAMDDentist
22DI03066500NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Oral Surgery PLLC Single Specialty CurrentSince Feb 16, 2025 Accepting new patients
Pacifico Dental Care of Forks PastSince Feb 16, 2025 Accepting new patients

Locations

2202 Sullivan Trl
Easton, PA 18040
Phone (610) 810-3511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737158400000",
    "number": "1558047787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WASHINGTON ST APT 512A",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035349",
            "telephone_number": "415-690-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407901",
            "telephone_number": "610-810-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELMAN",
        "first_name": "ROBERT",
        "middle_name": "DAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-01-18",
        "certification_date": "2025-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044936",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI03066500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2025; 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.