Individual provider Active NPI

Daniel Kirkpatrick, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glenshaw, PA
National Provider Identifier
1205360427
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS041623 Issued in PA
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

Updated by the provider on Jul 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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.)Group: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.
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

OrganizationSpecialtyStatusNew patients
Clearfield Oral Facial and Implant Surgery PC Single Specialty CurrentSince Jul 21, 2024 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.

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

Verify at the official NPI Registry.