Active NPI
Michael Scott Eisenberg, DDS
- Dentist
- Pittsburgh, PA
National Provider Identifier
1548374218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS025692L
- Practice address
- 355 5TH Ave
Suite 1500
Pittsburgh, PA 15222-2409 - Phone
- (412) 281-3546
- Fax
- (412) 281-6076
- NPI assigned
- Aug 18, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS025692L | PA | Primary |
Addresses
Primary practice location
355 5TH Ave
Suite 1500
Pittsburgh, PA 15222-2409
Mailing address
355 5TH Ave
Suite 1500
Pittsburgh, PA 15222-2409
Phone (412) 281-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025692L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troupe Dental LL | Past | Accepting new patients | |
| Troupe Dental, LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548374218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 5TH AVE",
"address_2": "SUITE 1500",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152222409",
"telephone_number": "412-281-3546",
"fax_number": "412-281-6076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 5TH AVE",
"address_2": "SUITE 1500",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152222409",
"telephone_number": "412-281-3546",
"fax_number": "412-281-6076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENBERG",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS025692L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.