Individual provider Active NPI

Robin E Shore, DMD

  • Dentist
  • Norwood, PA
National Provider Identifier
1679913834
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039500 Issued in PA
Practice address
519 Chester Pike
Norwood, PA 19074-1416
Phone
(610) 532-3700
Fax
(610) 532-9842
NPI assigned
Jul 2, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039500 PA Primary

Addresses

Primary practice location

519 Chester Pike
Norwood, PA 19074-1416

Mailing address

519 Chester Pike
Norwood, PA 19074-1416
Phone (610) 532-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160418000126 PA Order and Referring Only - DentistPractitioner - Dentist 6204134786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039500PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shore-Snyder Dental Center 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, 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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1679913834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 CHESTER PIKE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741416",
            "telephone_number": "610-532-3700",
            "fax_number": "610-532-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 CHESTER PIKE",
            "city": "NORWOOD",
            "state": "PA",
            "postal_code": "190741416",
            "telephone_number": "610-532-3700",
            "fax_number": "610-532-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "ROBIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, PA

Sources for this page

Verify at the official NPI Registry.