Individual provider Active NPI

Mark A Saxen, DDS, PHD

  • Dental Anesthesiology
  • Pittsburgh, PA
National Provider Identifier
1285711002
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DS022642L Issued in PA
Practice address
3501 Terrace Street, Suite 3189
Pittsburgh, PA 15261-2523
Phone
(412) 648-9100
Fax
(412) 383-7862
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009547 IN
Dental Anesthesiology 1223D0004X 12009547 IN
Dental Anesthesiology 1223D0004X DS022642L PA Primary

Addresses

Primary practice location

3501 Terrace Street, Suite 3189
Pittsburgh, PA 15261-2523

Mailing address

3501 Terrace Street, Suite 3189
Pittsburgh, PA 15261-2523
Phone (412) 648-9100

Other practice location 1

8935 N Meridian St Ste 107
Indianapolis, IN 46260-5348
Phone (317) 924-2390

Other identifiers 2

IdentifierTypeStateIssuer
177477001MedicaidTX
200800900MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.indyoba.com

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
I20240620001330 PA Practitioner - Dental Anesthesiology 8325949381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
12009547INMDDentist Anesthesiologist
DS022642LPAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Health Services, Inc. CurrentSince Apr 13, 2024 Accepting new patients
Anesthesia & Pain Management Services, P.C. Dental Anesthesiology Past Accepting new patients

Locations

3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 383-7483

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1285711002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE STREET, SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152612523",
            "telephone_number": "412-648-9100",
            "fax_number": "412-383-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE STREET, SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152612523",
            "telephone_number": "412-648-9100",
            "fax_number": "412-383-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8935 N Meridian St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462605348",
            "country_code": "US",
            "telephone_number": "317-924-2390",
            "fax_number": "317-924-2391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAXEN",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009547",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "IN",
            "license": "12009547",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS022642L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177477001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800900",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.indyoba.com",
            "affiliation": "N",
            "endpointDescription": "We do not have EMR",
            "address_1": "8935 N Meridian St Ste 107",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462605348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.