Individual provider Active NPI

Robert G Denmark

  • Periodontics
  • Lansdale, PA
National Provider Identifier
1629197249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
028932 Issued in PA
Practice address
2 Cowpath Rd
Lansdale, PA 19446-1227
Phone
(215) 368-2424
Fax
(215) 361-7292
NPI assigned
Mar 28, 2007
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
Periodontics 1223P0300X 028932 PA Primary

Addresses

Primary practice location

2 Cowpath Rd
Lansdale, PA 19446-1227

Mailing address

2121 Basswood Dr
Lafayette Hill, PA 19444-2331

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 18, 2016 through Apr 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028932PAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
CCD Brookwood, LLC Periodontics PastSince Dec 29, 2024 Accepting new patients
Brookwood Dental Associates LTD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629197249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BASSWOOD DR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COWPATH RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461227",
            "telephone_number": "215-368-2424",
            "fax_number": "215-361-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENMARK",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "028932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.