JAY B LAUDENBACH D.M.D.
NPI 1780608620
Dentist - Periodontics in Philadelphia, PA

Q: What is Jay Laudenbach's NPI number?

The NPI number for Jay Laudenbach is 1780608620. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Jay Laudenbach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Jay Laudenbach enrolled in Medicare?

No. Jay Laudenbach has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jay Laudenbach was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2006Opted out of Medicare · through Dec 8, 2026

1520 LOCUST ST, SUITE 600, PHILADELPHIA, PA 19102(215) 985-4337 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jay B Laudenbach D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY B LAUDENBACH D.M.D. (NPI 1780608620) is an individual periodontics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS035409) and active in the NPI registry since July 2006. He has opted out of Medicare through December 8, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1780608620

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameJAY B LAUDENBACHCredential: D.M.D.

Location Address1520 LOCUST ST, SUITE 600Philadelphia, PA 19102-4403

Mailing Address170 Idris RdMerion Station, PA 19066-1611 · (610) 668-2178

Phone(215) 985-4337

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1780608620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in PA · DS035409

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License DS035409 (PA)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jay B Laudenbach D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 8, 2014 through December 8, 2026.

Opt-Out Effective DateDecember 8, 2014

Opt-Out In Effect ThroughDecember 8, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH WILLIAM LAUDENBACH D.D.S.

Dentist (Periodontics)

1520 LOCUST ST, SUITE 600
PHILADELPHIA, PA 19102

Philadelphia County (215) 985-4337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Laudenbach's NPI number?

The NPI number for Jay Laudenbach is 1780608620. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Jay Laudenbach located?

Jay Laudenbach practices at 1520 Locust St Suite 600, Philadelphia, PA 19102. The listed phone number is (215) 985-4337.

What is Jay Laudenbach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jay Laudenbach enrolled in Medicare?

No. Jay Laudenbach has opted out of Medicare through December 8, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jay Laudenbach was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.