Individual provider Active NPI

Jonathan Mendia, D.M.D.

  • Dental Anesthesiology
  • Pittsburgh, PA
National Provider Identifier
1346584299
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DS038801 Issued in PA
Practice address
100 Denniston Ave
Apt #233
Pittsburgh, PA 15206-4028
Phone
(201) 674-0161
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DI02532800 NJ
Dentist 122300000X DS038801 PA
Dental Anesthesiology 1223D0004X DS038801 PA Primary
Dental Anesthesiology 1223D0004X DI02532800 NJ

Addresses

Primary practice location

100 Denniston Ave
Apt #233
Pittsburgh, PA 15206-4028

Mailing address

100 Denniston Ave
Apt #233
Pittsburgh, PA 15206-4028
Phone (201) 674-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20150630002398 NJ Order and Referring Only - DentistPractitioner - Dentist 0648582825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS038801PAMDDentist
DI02532800NJMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1346584299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNISTON AVE",
            "address_2": "APT #233",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064028",
            "telephone_number": "201-674-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DENNISTON AVE",
            "address_2": "APT #233",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064028",
            "telephone_number": "201-674-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIA",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI02532800",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038801",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DS038801",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NJ",
            "license": "DI02532800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.