Individual provider Active NPI

Meghan Deisroth Barroner, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Upper St Clair, PA
National Provider Identifier
1366670556
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS039001 Issued in PA
Practice address
1131 Boyce Rd
Suite a
Upper St Clair, PA 15241-3927
Phone
(724) 260-5009
Fax
(724) 299-3154
NPI assigned
Jun 25, 2009
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039001 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS039001 PA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS039001 PA
Anesthesiology Physician 207L00000X DA031706 PA

Addresses

Primary practice location

1131 Boyce Rd
Suite a
Upper St Clair, PA 15241-3927

Mailing address

1131 Boyce Rd
Suite a
Upper St Clair, PA 15241-3927
Phone (724) 260-5009

Other names 1

  • Miss Meghan Deisroth Beerbower Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125002175 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 0648592899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevated Oral and Implant Surgery, P.C.Group PAC ID 4789968793, 2 clinicians

Practice addresses (Care Compare)

1131 Boyce Rd
Suite a
Pittsburgh, PA 15241-3927
Phone (724) 260-5009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039001PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Oral & Implant Surgery, P.C. Oral and Maxillofacial Surgery CurrentSince Oct 29, 2016 Accepting new patients

Locations

1131 Boyce Rd
Ste A
Upper St Clair, PA 15241
Phone (724) 260-5009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1366670556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 BOYCE RD",
            "address_2": "SUITE A",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152413927",
            "telephone_number": "724-260-5009",
            "fax_number": "724-299-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 BOYCE RD",
            "address_2": "SUITE A",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152413927",
            "telephone_number": "724-260-5009",
            "fax_number": "724-299-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRONER",
        "first_name": "MEGHAN",
        "middle_name": "DEISROTH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039001",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039001",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS039001",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "DA031706",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "BEERBOWER",
            "middle_name": "DEISROTH",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upper St Clair, PA

Sources for this page

Verify at the official NPI Registry.