John Louis Waldman, D.M.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DS-026624-L Issued in PA

Practice address

650 Smithfield St
Centre City Tower Suite 1530
PGH, PA 15222

Phone

(412) 391-3322

Fax

(412) 391-5430

NPI assigned

Oct 3, 2006

Last updated

Mar 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. John L. Waldman

  • Prosthodontics
  • Pittsburgh, PA
  • NPI 1932481868
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1063506277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SMITHFIELD ST",
            "address_2": "CENTRE CITY TOWER SUITE 1530",
            "city": "PGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-391-3322",
            "fax_number": "412-391-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SMITHFIELD ST",
            "address_2": "CENTRE CITY TOWER SUITE 1530",
            "city": "PGH",
            "state": "PA",
            "postal_code": "15222",
            "telephone_number": "412-391-3322",
            "fax_number": "412-391-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "JOHN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS-026624-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL I.D. NUMBER",
            "identifier": "25-1636953",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "DS-026624-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Z. Spatz, D.M.D
• Step by Step Support LLC
• Timothy Patrick Stewart, DPM
• James A H Tauberg, DMD
• Michael Matthew Vinski, CHIROPRACTOR
• Ken N Wittebort
• Mark Wrigley

• Prosthodontics in PGH, PA
• Providers in PGH, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.