Individual provider Active NPI

Rocco Joseph Mesoraca III, DMD

  • Dentist
  • Upper Chichester, PA
National Provider Identifier
1619723780
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044593 Issued in PA
Practice address
5000 Chichester Ave
Upper Chichester, PA 19014-2333
Phone
(610) 485-1991
NPI assigned
Apr 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS044593 PA Primary

Addresses

Primary practice location

5000 Chichester Ave
Upper Chichester, PA 19014-2333

Mailing address

818 Ellis Ave
Newtown Square, PA 19073-3906
Phone (610) 306-9599

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
DS044593PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Care Associates PastSince May 7, 2024 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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619723780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 ELLIS AVE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733906",
            "telephone_number": "610-306-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CHICHESTER AVE",
            "city": "UPPER CHICHESTER",
            "state": "PA",
            "postal_code": "190142333",
            "telephone_number": "610-485-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESORACA",
        "first_name": "ROCCO",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Chichester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.