Daniel Thomas Novak, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS024122L Issued in PA

Practice address

121 Rolling Acres Drive
Alum Bank, PA 15521

Phone

(814) 839-4696

Fax

(814) 839-2177

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Windber Hospital, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Windber, PA
  • NPI 1235778135
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1609941293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "ALUM BANK",
            "state": "PA",
            "postal_code": "15521",
            "telephone_number": "814-839-4696",
            "fax_number": "814-839-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ROLLING ACRES DRIVE",
            "city": "ALUM BANK",
            "state": "PA",
            "postal_code": "15521",
            "telephone_number": "814-839-4696",
            "fax_number": "814-839-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024122L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "469981",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christian Earon Muthler, PHYSICAL THERAPIST
• Robert James Rabatin, PHYSICAL THERAPIST
• Cindy L Reed, DDS
• Renal Care Consultants, PC
• Lonnie J Ross, RPH
• Cynthia M. Storm, P.T.

• Dentist in Alum Bank, PA
• Providers in Alum Bank, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.