Active NPI
David Michael Saneck, DDS
- Dentist
- Morgantown, PA
National Provider Identifier
1265610869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS021685L
- Practice address
- 3500 Main Street
Morgantown, PA 19543-0322 - Phone
- (610) 286-6323
- Fax
- (610) 286-2149
- NPI assigned
- Feb 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS021685L | PA | Primary |
Addresses
Primary practice location
3500 Main Street
Morgantown, PA 19543-0322
Mailing address
PO Box 322
3500 Main Street
Morgantown, PA 19543-0322
Phone (610) 286-6323
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161201000133 | PA | Practitioner - Oral Surgery | 7214217645 | Practice locations: Morgantown, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS021685L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1265610869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"address_2": "3500 MAIN STREET",
"city": "MORGANTOWN",
"state": "PA",
"postal_code": "195430322",
"telephone_number": "610-286-6323",
"fax_number": "610-286-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MAIN STREET",
"city": "MORGANTOWN",
"state": "PA",
"postal_code": "195430322",
"telephone_number": "610-286-6323",
"fax_number": "610-286-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANECK",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS021685L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.