Individual provider Active NPI

Suzanne Lynn Maslo, DMD

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1528020617
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS031007L Issued in PA
Practice address
1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881
Phone
(412) 247-2310
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS031007L PA Primary

Addresses

Primary practice location

1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881

Mailing address

1860 Elmdale Rd
Pittsburgh, PA 15205-3932
Phone (412) 874-8043

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
I20160505000518 PA Order and Referring Only - DentistPractitioner - Dentist 3274832779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS031007LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. Past Accepting new patients
Metro Family Practice Inc. 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 and National Provider Directory roles.

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": "1553472000000",
    "number": "1528020617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 ELMDALE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053932",
            "telephone_number": "412-874-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASLO",
        "first_name": "SUZANNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS031007L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.