Active NPI
Daniel Kirkpatrick, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Glenshaw, PA
National Provider Identifier
1205360427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS041623
- Practice address
- 1416 Mount Royal Blvd
Glenshaw, PA 15116-2206 - Phone
- (412) 223-5880
- Fax
- (412) 223-5883
- NPI assigned
- Apr 13, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS041623 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MO | ||
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS041623 | PA | Primary |
Addresses
Primary practice location
1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Mailing address
1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Phone (412) 223-5880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 31, 2023 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearfield Oral Facial and Implant Surgery PC | Single Specialty | Current | Accepting new patients |
| Kirkpatrick Oral Facial and Implant Surgery, PC | Single Specialty | Current | Accepting new patients |
Locations
1416 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 223-5880
Organizations & group practices 2
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Cranberry Township, PA
- NPI 1669254835
Single Specialty
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Du Bois, PA
- NPI 1528805579
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688256000000",
"number": "1205360427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 MOUNT ROYAL BLVD",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162206",
"telephone_number": "412-223-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 MOUNT ROYAL BLVD",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162206",
"telephone_number": "412-223-5880",
"fax_number": "412-223-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-13",
"last_updated": "2023-07-02",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS041623",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS041623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.