Individual provider Active NPI

Lawrence Kevin Metsger, D.M.D.

  • General Practice Dentistry
  • Greensburg, PA
National Provider Identifier
1447277892
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DSO25334-L Issued in PA
Practice address
520 Pellis Rd
Suite 4000
Greensburg, PA 15601-4777
Phone
(724) 837-5009
Fax
(734) 834-0106
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DSO25334-L PA Primary

Addresses

Primary practice location

520 Pellis Rd
Suite 4000
Greensburg, PA 15601-4777

Mailing address

114 La Dolce Vita Rd
Greensburg, PA 15601-8542
Phone (724) 834-8396

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
I20150604001215 PA Order and Referring Only - DentistPractitioner - Dentist 5890016646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO25334-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Dental Studio and Implant Center General Practice PastSince Mar 17, 2024 Accepting new patients
L. Kevin Metsger Past Accepting new patients

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447277892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LA DOLCE VITA RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156018542",
            "telephone_number": "724-834-8396",
            "fax_number": "724-834-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PELLIS RD",
            "address_2": "SUITE 4000",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014777",
            "telephone_number": "724-837-5009",
            "fax_number": "734-834-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METSGER",
        "first_name": "LAWRENCE",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO25334-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.