Individual provider Active NPI

William John Katsur, D.M.D.

  • General Practice Dentistry
  • Upper St Clair, PA
National Provider Identifier
1578618401
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-018636-L Issued in PA
Practice address
61 McMurray Rd
Suite 100a
Upper St Clair, PA 15241-1633
Phone
(412) 831-9910
Fax
(412) 831-9962
NPI assigned
Jan 23, 2007
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
General Practice Dentistry 1223G0001X DS-018636-L PA Primary

Addresses

Primary practice location

61 McMurray Rd
Suite 100a
Upper St Clair, PA 15241-1633

Mailing address

61 McMurray Rd
Suite 100a
Upper St Clair, PA 15241-1633
Phone (412) 831-9910

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
I20160112000549 PA Order and Referring Only - DentistPractitioner - Dentist 8426379736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-018636-LPAMDGeneral Practice Dentistry

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578618401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MCMURRAY RD",
            "address_2": "SUITE 100A",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152411633",
            "telephone_number": "412-831-9910",
            "fax_number": "412-831-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MCMURRAY RD",
            "address_2": "SUITE 100A",
            "city": "UPPER ST CLAIR",
            "state": "PA",
            "postal_code": "152411633",
            "telephone_number": "412-831-9910",
            "fax_number": "412-831-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSUR",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-018636-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper St Clair, PA

Sources for this page

Verify at the official NPI Registry.