Individual provider Active NPI

Jay William Hurley, DMD

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1205861341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS025252L Issued in PA
Practice address
3757 Library Rd
Suite 100
Pittsburgh, PA 15234
Phone
(412) 343-9999
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS025252L PA Primary

Addresses

Primary practice location

3757 Library Rd
Suite 100
Pittsburgh, PA 15234

Mailing address

3757 Library Rd
Suite 100
Pittsburgh, PA 15234
Phone (412) 343-9999

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150706001599 PA Order and Referring Only - DentistPractitioner - Dentist 9335451368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS025252LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jay W. Hurley, DMD, LLC Past Accepting new patients
Colleen R. Cain, DMD, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205861341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 LIBRARY RD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-343-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 LIBRARY RD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15234",
            "telephone_number": "412-343-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JAY",
        "middle_name": "WILLIAM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025252L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.