Active NPI
Mark A Saxen, DDS, PHD
- Dental Anesthesiology
- Pittsburgh, PA
National Provider Identifier
1285711002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DS022642L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177477001 | Medicaid | TX | |
| 200800900 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009547 | IN | MD | Dentist Anesthesiologist |
| DS022642L | PA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dental Health Services, Inc. | Current | 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.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1194788653
-
- Dental Anesthesiology
- Indianapolis, IN
- NPI 1083874077
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.