Individual provider Active NPI

Thomas Korpar, DMD

  • Dentist
  • Washington, PA
National Provider Identifier
1538511696
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS040963 Issued in PA
Practice address
10 Old Mill Blvd
Washington, PA 15301-6738
Phone
(724) 503-4435
Fax
(724) 470-9937
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS040963 PA Primary

Addresses

Primary practice location

10 Old Mill Blvd
Washington, PA 15301-6738

Mailing address

10 Old Mill Blvd
Washington, PA 15301-6738
Phone (724) 503-4435

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
I20161003001085 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3779870928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040963PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1538511696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLD MILL BLVD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016738",
            "telephone_number": "724-503-4435",
            "fax_number": "724-470-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLD MILL BLVD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153016738",
            "telephone_number": "724-503-4435",
            "fax_number": "724-470-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORPAR",
        "first_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.