Active NPI
Robert G Denmark
- Periodontics
- Lansdale, PA
National Provider Identifier
1629197249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 028932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 028932 | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCD Brookwood, LLC | Periodontics | Past | 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.
-
- Dentist
- Lansdale, PA
- NPI 1205926482
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.