Individual provider Active NPI

George M Just, DDS

  • Endodontics
  • Monroeville, PA
National Provider Identifier
1548273279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS020311L Issued in PA
Practice address
117 Fox Plan Road
Monroeville, PA 15146
Phone
(412) 372-2510
Fax
(412) 372-7611
NPI assigned
Aug 14, 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
Endodontics 1223E0200X DS020311L PA Primary

Addresses

Primary practice location

117 Fox Plan Road
Monroeville, PA 15146

Mailing address

117 Fox Plan Road
Monroeville, PA 15146
Phone (412) 372-2510

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
I20150112001870 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709100183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020311LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548273279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN ROAD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-372-2510",
            "fax_number": "412-372-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN ROAD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-372-2510",
            "fax_number": "412-372-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUST",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS020311L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.