Individual provider Active NPI

Roger P Spampata, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lansdale, PA
National Provider Identifier
1710903018
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS027487L Issued in PA
Practice address
2100 N Broad St
Ste 106
Lansdale, PA 19446
Phone
(215) 368-8104
Fax
(215) 368-3711
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS027487L 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000487 PA Practitioner - Oral Surgery 4587700869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1987
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

672 Main St
Suite a
Harleysville, PA 19438-1678
Phone (215) 256-0405

813 Bethlehem Pike
Suite 100
Erdenheim, PA 19038-8100
Phone (215) 233-2590

920 Germantown Pike
Suite 120
Plymouth Meeting, PA 19462-7401
Phone (610) 239-2495

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027487LPAMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgical Associates CurrentSince Apr 29, 1991 Accepting new patients

Locations

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

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 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.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1710903018",
    "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": "SPAMPATA",
        "first_name": "ROGER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS027487L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.