Individual provider Active NPI

Robert G Drnach, DMD

  • Endodontics
  • Harrisburg, PA
National Provider Identifier
1609951607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DSO29891 Issued in PA
Practice address
1199 Colonial Rd
Harrisburg, PA 17112-1900
Phone
(717) 545-7400
Fax
(717) 909-6865
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DSO29891 PA Primary

Addresses

Primary practice location

1199 Colonial Rd
Harrisburg, PA 17112-1900

Mailing address

1199 Colonial Rd
Harrisburg, PA 17112-1900
Phone (717) 545-7400

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 Jul 21, 2017 through Jul 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DSO29891PAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Endodontics Associates Endodontics Past Accepting new patients

Organizations & group practices 1

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609951607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 COLONIAL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121900",
            "telephone_number": "717-545-7400",
            "fax_number": "717-909-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 COLONIAL RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121900",
            "telephone_number": "717-545-7400",
            "fax_number": "717-909-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRNACH",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DSO29891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.