Jack Raymond McAuliffe, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS044162 Issued in PA

Practice address

710 Thompson Ave
MC Kees Rocks, PA 15136-3808

Phone

(412) 771-6462

NPI assigned

Jun 15, 2023

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sto-Rox Neighborhood Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • McKees Rocks, PA
  • NPI 1154354553
  Medicare reassignment NPD
• Sto-Rox Neighborhood Health Council, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pittsburgh, PA
  • NPI 1114339371
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1306520606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4172 TIMBERLANE DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012967",
            "telephone_number": "412-926-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 THOMPSON AVE",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151363808",
            "telephone_number": "412-771-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "JACK",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jane Marino, M.P.T.
• Christopher J Marrone, MPT, ATC
• Michael Dennis Marshall, CRNP
• Sara Massimino, DPT
• Bradley J Mauersberg
• Kimberly McCarty, LPC
• Sara Dawn McClellan
• Susan H McCreary, BA
• McKees Rocks Dental
• Stacie McKnight, DO

• Dentist in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.

Verify at the official NPI Registry.