Paul Alan Taiclet, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020707L Issued in PA

Practice address

1712 Mount Nebo Rd
Ste 103
Sewickley, PA 15143-8526

Phone

(412) 741-3337

Fax

(412) 741-8977

NPI assigned

Jun 14, 2005

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

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

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1154326494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 MOUNT NEBO RD",
            "address_2": "STE 103",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438526",
            "telephone_number": "412-741-3337",
            "fax_number": "412-741-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 MOUNT NEBO RD",
            "address_2": "STE 103",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438526",
            "telephone_number": "412-741-3337",
            "fax_number": "412-741-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAICLET",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020707L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Elizabeth Sydenstricker, AUD
• John Joseph Szczypinski II, DPT
• Emily Szymanski
• Taraneh Taheri, LPC
• Lynne Marie Taiclet, D.M.D.
• Talking Toddlers, LP
• Karen C. Tecco Graham, SLP
• Anne Neering Tessaro, M. D.
• Krista E Tharan, CRNP
• The Center for Skin Surgery PC

• General Practice Dentistry in Sewickley, PA
• Providers in Sewickley, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.