Individual provider Active NPI

Earl Barry Rochvarg, DDS

  • General Practice Dentistry
  • Southampton, PA
National Provider Identifier
1558530022
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS017197L Issued in PA
Practice address
283 Second Street Pike
Suite 140
Southampton, PA 18966-3823
Phone
(215) 357-2224
Fax
(215) 322-5314
NPI assigned
Feb 28, 2008
Last updated
Feb 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS017197L PA Primary

Addresses

Primary practice location

283 Second Street Pike
Suite 140
Southampton, PA 18966-3823

Mailing address

283 Second Street Pike
Suite 140
Southampton, PA 18966-3823
Phone (215) 357-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 5, 2016 through Apr 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS017197LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harry S Taub, DDS & Associates PC Past Accepting new patients
White Pearl Dentistry PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1558530022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 SECOND STREET PIKE",
            "address_2": "SUITE 140",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663823",
            "telephone_number": "215-357-2224",
            "fax_number": "215-322-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 SECOND STREET PIKE",
            "address_2": "SUITE 140",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663823",
            "telephone_number": "215-357-2224",
            "fax_number": "215-322-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHVARG",
        "first_name": "EARL",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS017197L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.