Individual provider Active NPI

Dao T Felen, DDS

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1508828682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020622L Issued in PA
Practice address
1615 Penn Ave
Pittsburgh, PA 15222-4322
Phone
(412) 391-7373
Fax
(412) 384-0318
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

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 DS020622L PA Primary

Addresses

Primary practice location

1615 Penn Ave
Pittsburgh, PA 15222-4322

Mailing address

1064 Cedar Blvd
Mt Lebanon, PA 15228-1141
Phone (412) 260-6417

Other identifiers 1

IdentifierTypeStateIssuer
0533751MedicaidPA

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
I20150616002097 PA Order and Referring Only - DentistPractitioner - Dentist 5496066516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020622LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508828682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 CEDAR BLVD",
            "city": "MT LEBANON",
            "state": "PA",
            "postal_code": "152281141",
            "telephone_number": "412-260-6417",
            "fax_number": "412-384-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152224322",
            "telephone_number": "412-391-7373",
            "fax_number": "412-384-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELEN",
        "first_name": "DAO",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020622L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0533751",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.