Individual provider Active NPI

Jennifer Kriste Dalton, D.M.D

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1003078478
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037525 Issued in PA
Practice address
8135 Perry Hwy
Pittsburgh, PA 15237-5233
Phone
(412) 364-6364
NPI assigned
Jun 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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 DS037525 PA Primary

Addresses

Primary practice location

8135 Perry Hwy
Pittsburgh, PA 15237-5233

Mailing address

3006 Sturbridge CT
Allison Park, PA 15101-1538
Phone (724) 331-6226

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
I20150803000019 PA Order and Referring Only - DentistPractitioner - Dentist 1557675782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037525PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Family Dental LLC CurrentSince Aug 2, 2020 Accepting new patients
Peace Dental, PC General Practice Past Accepting new patients

Locations

8135 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-2664

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1003078478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 STURBRIDGE CT",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011538",
            "telephone_number": "724-331-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375233",
            "telephone_number": "412-364-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "JENNIFER",
        "middle_name": "KRISTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.