Individual provider Active NPI

David Paul Dzuban, DDS

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1396965497
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS028795L Issued in PA
Practice address
300 Penn Center Blvd Ste 210
Pittsburgh, PA 15235-5502
Phone
(412) 367-3368
Fax
(412) 367-0451
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DS028795L PA
Dentist 122300000X DS028795L PA Primary

Addresses

Primary practice location

300 Penn Center Blvd Ste 210
Pittsburgh, PA 15235-5502

Mailing address

300 Penn Center Blvd Ste 210
Pittsburgh, PA 15235-5502
Phone (412) 367-3368

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
I20160126000656 PA Order and Referring Only - DentistPractitioner - Dentist 8729381710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Sleep Pittsburgh Durable Medical Equipment & Medical Supplies CurrentSince Oct 22, 2018 Accepting new patients

Locations

300 Penn Center Blvd
Ste 210
Pittsburgh, PA 15235
Phone (412) 825-0200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1396965497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355502",
            "telephone_number": "412-367-3368",
            "fax_number": "412-367-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD STE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355502",
            "telephone_number": "412-367-3368",
            "fax_number": "412-367-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZUBAN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "DS028795L",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028795L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.