Active NPI
Lawrence Kevin Metsger, D.M.D.
- General Practice Dentistry
- Greensburg, PA
National Provider Identifier
1447277892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DSO25334-L
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150604001215 | PA | Order and Referring Only - Dentist | 5890016646 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DSO25334-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental Studio and Implant Center | General Practice | Past | 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.
-
- Dentist
- Greensburg, PA
- NPI 1750548483
-
- General Practice Dentistry
- Greensburg, PA
- NPI 1487412623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.