Individual provider Active NPI

Nathan A Haerr, D.D.S.

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1326064627
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040292 Issued in PA
Practice address
1725 Washington Rd Ste 600
Pittsburgh, PA 15241-1207
Phone
(412) 833-3944
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040292 PA Primary

Addresses

Primary practice location

1725 Washington Rd Ste 600
Pittsburgh, PA 15241-1207

Mailing address

1758 Meadowcrest Dr
Pittsburgh, PA 15241-1316
Phone (970) 846-8462

Other identifiers 1

IdentifierTypeStateIssuer
1030058270001MedicaidPA

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
I20160311000497 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0143526574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040292PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Family Dentistry LLC Current Accepting new patients
South Pittsburgh Dental Studio PLLC Past Accepting new patients
Gregory S Peterson DMD & Associates Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathan.haerr.p12@direct.cornerstonecare.nextgenshare.com

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326064627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 MEADOWCREST DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411316",
            "telephone_number": "970-846-8462",
            "fax_number": "412-771-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 WASHINGTON RD STE 600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411207",
            "telephone_number": "412-833-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERR",
        "first_name": "NATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030058270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.