Individual provider Active NPI

Robert Andrew Bartusiak, D.M.D.

  • General Practice Dentistry
  • McMurray, PA
National Provider Identifier
1851403570
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-023570-L Issued in PA
Practice address
2000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-5410
Phone
(724) 941-3090
Fax
(724) 941-3018
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-023570-L PA Primary

Addresses

Primary practice location

2000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-5410

Mailing address

2000 Waterdam Plaza Dr
Suite 280
McMurray, PA 15317-5410
Phone (724) 941-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS-023570-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1851403570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175410",
            "telephone_number": "724-941-3090",
            "fax_number": "724-941-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WATERDAM PLAZA DR",
            "address_2": "SUITE 280",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175410",
            "telephone_number": "724-941-3090",
            "fax_number": "724-941-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTUSIAK",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023570-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.