Individual provider Active NPI

Patrick E Dahlkemper, DMD

  • Endodontics
  • Pittsburgh, PA
National Provider Identifier
1578994596
Registry record updated Dec 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS029517L Issued in PA
Practice address
1000 Gamma Dr Ste 108
Pittsburgh, PA 15238-2923
Phone
(412) 782-4944
NPI assigned
Dec 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS029517L PA Primary

Addresses

Primary practice location

1000 Gamma Dr Ste 108
Pittsburgh, PA 15238-2923

Mailing address

1000 Gamma Dr Ste 108
Pittsburgh, PA 15238-2923
Phone (412) 782-4944

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
I20160621000121 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1254622327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS029517LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1385856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385856000000",
    "number": "1578994596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GAMMA DR STE 108",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382923",
            "telephone_number": "412-782-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GAMMA DR STE 108",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152382923",
            "telephone_number": "412-782-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKEMPER",
        "first_name": "PATRICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-01",
        "last_updated": "2013-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS029517L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.