Individual provider Active NPI

Thomas P Nordone, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bryn Mawr, PA
National Provider Identifier
1780614883
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS021679L Issued in PA
Practice address
26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201
Phone
(610) 527-3110
Fax
(610) 520-0534
NPI assigned
Jul 4, 2006
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS028977L PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS021679L PA Primary

Addresses

Primary practice location

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201

Mailing address

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201
Phone (610) 527-3110

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
I20120322000140 PA Practitioner - Maxillofacial Surgery 5294995619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penna Oral and Maxillofacial SurgeryGroup PAC ID 9830159490, 9 clinicians

Practice addresses (Care Compare)

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201
Phone (610) 527-3112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DS028977LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
STC Pediatrics LLC Current Accepting new patients
STC Pediatrics LLC CurrentSince Nov 1, 2020 Accepting new patients
STC Pediatrics LLC CurrentSince Nov 1, 2020 Accepting new patients
Penna Oral & Maxillofacial Surgery Dentist CurrentSince Feb 8, 2012 Accepting new patients
Maxilla LLC Oral and Maxillofacial Surgery PastSince Oct 22, 2023 Accepting new patients

Locations

153 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 526-3200

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-3110

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

Organizations & group practices 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1780614883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103201",
            "telephone_number": "610-527-3110",
            "fax_number": "610-520-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103201",
            "telephone_number": "610-527-3110",
            "fax_number": "610-520-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDONE",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028977L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS021679L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.