Individual provider Active NPI

Donald Scott Dazen, DMD

  • General Practice Dentistry
  • McKees Rocks, PA
National Provider Identifier
1306835384
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023646L Issued in PA
Practice address
710 Broadway St
MC Kees Rocks, PA 15136-2226
Phone
(412) 331-1115
Fax
(412) 331-2891
NPI assigned
Oct 21, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS023646L PA Primary

Addresses

Primary practice location

710 Broadway St
MC Kees Rocks, PA 15136-2226

Mailing address

710 Broadway St
MC Kees Rocks, PA 15136-2226
Phone (412) 331-1115

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
I20160512000993 PA Order and Referring Only - DentistPractitioner - Dentist 3476842550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306835384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151362226",
            "telephone_number": "412-331-1115",
            "fax_number": "412-331-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151362226",
            "telephone_number": "412-331-1115",
            "fax_number": "412-331-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAZEN",
        "first_name": "DONALD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023646L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKees Rocks, PA

Sources for this page

Verify at the official NPI Registry.