Individual provider Active NPI

Dennis W Szymaitis, DMD

  • Periodontics
  • Pittsburgh, PA
National Provider Identifier
1285938555
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS017583L Issued in PA
Practice address
5 W Manilla Ave
Pittsburgh, PA 15220-3309
Phone
(412) 921-3433
NPI assigned
Dec 31, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS017583L PA Primary

Addresses

Primary practice location

5 W Manilla Ave
Pittsburgh, PA 15220-3309

Mailing address

5 W Manilla Ave
Pittsburgh, PA 15220-3309
Phone (412) 921-3433

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
I20151119001084 PA Order and Referring Only - DentistPractitioner - Dentist 4284934480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS017583LPAMDPeriodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1285938555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W MANILLA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203309",
            "telephone_number": "412-921-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MANILLA AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203309",
            "telephone_number": "412-921-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMAITIS",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS017583L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.