Individual provider Active NPI

Richard P Deasy, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lansdale, PA
National Provider Identifier
1689685034
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS-026557-L Issued in PA
Practice address
2100 N Broad St
Ste 106
Lansdale, PA 19446
Phone
(215) 368-8104
Fax
(215) 368-3711
NPI assigned
Aug 11, 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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS-026557-L PA Primary

Addresses

Primary practice location

2100 N Broad St
Ste 106
Lansdale, PA 19446

Mailing address

2100 N Broad St
Ste 106
Lansdale, PA 19446
Phone (215) 368-8104

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000175 PA Practitioner - Maxillofacial Surgery 8820282387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Temple University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgical AssociatesGroup PAC ID 7012990807, 6 clinicians

Practice addresses (Care Compare)

2100 N Broad St
Suite 106
Lansdale, PA 19446-1052
Phone (215) 368-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-026557-LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgical Associates Oral and Maxillofacial Surgery CurrentSince Mar 1, 2002 Accepting new patients
Valley Oral Surgery PC Oral and Maxillofacial Surgery PastSince Sep 1, 2022 Accepting new patients

Locations

813 Bethlehem Pike
Ste 100
Erdenheim, PA 19038
Phone (215) 233-2590

813 Bethlehem Pike
Erdenheim, PA 19038
Phone (215) 233-1163

672 Main St
Ste A
Harleysville, PA 19438
Phone (215) 256-0405

619 Horsham Rd
Horsham, PA 19044
Phone (215) 674-4400

2100 N Broad St
Ste 106
Lansdale, PA 19446
Phone (215) 368-8104

920 Germantown Pike
Ste 120
Plymouth Meeting, PA 19462
Phone (610) 239-2495

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689685034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE 106",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-368-8104",
            "fax_number": "215-368-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N BROAD ST",
            "address_2": "STE 106",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-368-8104",
            "fax_number": "215-368-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASY",
        "first_name": "RICHARD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS-026557-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.