Individual provider Active NPI

Nestor Foronda, D.M.D.

  • Endodontics
  • Pittsburgh, PA
National Provider Identifier
1043357429
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS036408 Issued in PA
Practice address
563 Epsilon Dr Ste 200
Pittsburgh, PA 15238-2816
Phone
(412) 449-0132
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS036408 PA Primary

Addresses

Primary practice location

563 Epsilon Dr Ste 200
Pittsburgh, PA 15238-2816

Mailing address

11 S Mill St Ste 200
New Castle, PA 16101-3680

Other practice location 1

200 Hightower Blvd
Suite 300
Pittsburgh, PA 15205-1135
Phone (412) 787-3704

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
I20160613001490 PA Order and Referring Only - DentistPractitioner - Dentist 4284924762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1043357429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 S MILL ST STE 200",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 EPSILON DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382816",
            "telephone_number": "412-449-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hightower Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152051135",
            "country_code": "US",
            "telephone_number": "412-787-3704",
            "fax_number": "412-787-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORONDA",
        "first_name": "NESTOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS036408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.