Active NPI
James M Eiben II, D.M.D.
- Dentist
- Pittsburgh, PA
National Provider Identifier
1174734263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS024907L
- Practice address
- 1324 East Carson Street
Pittsburgh, PA 15203 - Phone
- (412) 431-1506
- Fax
- (412) 431-1507
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS 024907-L | PA | |
| Dentist | 122300000X | DS024907L | PA | Primary |
Addresses
Primary practice location
1324 East Carson Street
Pittsburgh, PA 15203
Mailing address
1324 East Carson Street
Pittsburgh, PA 15203
Phone (412) 431-1506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024907L | PA | MD | Dentist |
| DS 024907-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1174734263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 EAST CARSON STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15203",
"telephone_number": "412-431-1506",
"fax_number": "412-431-1507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 EAST CARSON STREET",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15203",
"telephone_number": "412-431-1506",
"fax_number": "412-431-1507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIBEN",
"first_name": "JAMES",
"middle_name": "M",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS 024907-L",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS024907L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.