Individual provider Active NPI

Jeffrey P Verner, DMD

  • Dentist
  • Upper St Clair, PA
National Provider Identifier
1386655728
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029573L Issued in PA
Practice address
2585 Washington Road
Suite 110
Upper St. Clair, PA 15241
Phone
(412) 854-4492
Fax
(412) 854-0913
NPI assigned
Aug 11, 2006
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS029573L PA Primary

Addresses

Primary practice location

2585 Washington Road
Suite 110
Upper St. Clair, PA 15241

Mailing address

2585 Washington Road
Suite 110
Upper St. Clair, PA 15241
Phone (412) 854-4492

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
I20160218001976 PA Order and Referring Only - DentistPractitioner - Dentist 5193020774

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1386655728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 WASHINGTON ROAD",
            "address_2": "SUITE 110",
            "city": "UPPER ST. CLAIR",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-854-4492",
            "fax_number": "412-854-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 WASHINGTON ROAD",
            "address_2": "SUITE 110",
            "city": "UPPER ST. CLAIR",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-854-4492",
            "fax_number": "412-854-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029573L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper St Clair, PA

Sources for this page

Verify at the official NPI Registry.