Individual provider Active NPI

Lisa Weinberg, DMD

  • General Practice Dentistry
  • Carnegie, PA
National Provider Identifier
1003222084
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
025434L Issued in PA
Practice address
2323 Greentree Rd
Carnegie, PA 15106-4203
Phone
(412) 279-4114
Fax
(412) 279-6139
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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 025434L PA Primary

Addresses

Primary practice location

2323 Greentree Rd
Carnegie, PA 15106-4203

Mailing address

2323 Greentree Rd
Carnegie, PA 15106-4203

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
I20160420000710 PA Order and Referring Only - DentistPractitioner - Dentist 3779881057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025434LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
General Service and Supply Inc General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1003222084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 GREENTREE RD",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 GREENTREE RD",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151064203",
            "telephone_number": "412-279-4114",
            "fax_number": "412-279-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "LISA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "025434L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carnegie, PA

Sources for this page

Verify at the official NPI Registry.