Individual provider Active NPI

Lindsay Jodon, DMD

  • Dentist
  • Largo, FL
National Provider Identifier
1255561635
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037915 Issued in PA
Practice address
500 Belcher Rd S Apt 192
Largo, FL 33771-5519
Phone
(412) 708-1697
NPI assigned
Jul 21, 2009
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037915 PA Primary

Addresses

Primary practice location

500 Belcher Rd S Apt 192
Largo, FL 33771-5519

Mailing address

1009 Beaver Grade Rd
Suite 300
Moon Township, PA 15108
Phone (412) 264-6229

Other names 1

  • Lindsay Hayes Former name

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
I20240207003474 PA Practitioner - Dentist 2163865056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

3824 Northern Pike
Suite 100
Monroeville, PA 15146-2162
Phone (412) 823-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Dental Sleep Medicine, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Pittsburgh Dental Sleep Medicine, Inc. Current Accepting new patients
Dicostanzo DMD PLLC PastSince Apr 16, 2023 Accepting new patients
Judy L. Disanti, DMD LLC Dentist Past Accepting new patients

Locations

3055 Washington Rd
Ste 302
Mc Murray, PA 15317
Phone (724) 230-8220

3824 Northern Pike
Ste 100
Monroeville, PA 15146
Phone (412) 823-1400

11676 Perry Hwy
Ste 3201
Wexford, PA 15090
Phone (724) 935-6670

Organizations & group practices 4

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1255561635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BEAVER GRADE RD",
            "address_2": "SUITE 300",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-264-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BELCHER RD S APT 192",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715519",
            "telephone_number": "412-708-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODON",
        "first_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "HAYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.