Individual provider Active NPI

Michael Kaufman, DMD

  • General Practice Dentistry
  • Wexford, PA
National Provider Identifier
1255990537
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS042198 Issued in PA
Practice address
10431 Perry Hwy Ste 200
Wexford, PA 15090-9200
Phone
(724) 935-9720
Fax
(724) 935-9724
NPI assigned
Jun 10, 2019
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS042198 PA Primary

Addresses

Primary practice location

10431 Perry Hwy Ste 200
Wexford, PA 15090-9200

Mailing address

10431 Perry Hwy Ste 200
Wexford, PA 15090-9200
Phone (247) 935-9720

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

LicenseStateTypeSpecialty
DS042198PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael C Kaufman Family Dentistry PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1201 Broughton Rd
#200
Pittsburgh, PA 15236
Phone (412) 655-2172

10431 Perry Hwy
Ste 200
Wexford, PA 15090
Phone (724) 935-9720

10431 Perry Hwy
Ste 1
Wexford, PA 15090
Phone (360) 200-8728

Organizations & group practices 1

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1255990537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909200",
            "telephone_number": "247-935-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 PERRY HWY STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909200",
            "telephone_number": "724-935-9720",
            "fax_number": "724-935-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MICHAEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.