Individual provider Active NPI

Ryan Zelder, D.D.S

  • General Practice Dentistry
  • McKeesport, PA
National Provider Identifier
1588043111
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040700 Issued in PA
Practice address
400 Duncan Station Rd
McKeesport, PA 15135-3333
Phone
(412) 751-7710
NPI assigned
May 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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 DS040700 PA Primary

Addresses

Primary practice location

400 Duncan Station Rd
McKeesport, PA 15135-3333

Mailing address

400 Duncan Station Rd
McKeesport, PA 15135-3333
Phone (412) 751-7710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20160112002305 WV Order and Referring Only - DentistPractitioner - Dentist 3072815737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040700PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zelder Family Dentistry LLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

400 Duncan Station Rd
McKeesport, PA 15135
Phone (412) 751-7710

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1588043111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DUNCAN STATION RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151353333",
            "telephone_number": "412-751-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DUNCAN STATION RD",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151353333",
            "telephone_number": "412-751-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELDER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

Verify at the official NPI Registry.