Individual provider Active NPI

Robert John Locastro, D.M.D

  • Periodontics
  • Bethel Park, PA
National Provider Identifier
1629253133
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS-027670-L Issued in PA
Practice address
4924 Lindermer Ave
Bethel Park, PA 15102-2814
Phone
(412) 833-6377
NPI assigned
Jan 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS-027670-L PA Primary

Addresses

Primary practice location

4924 Lindermer Ave
Bethel Park, PA 15102-2814

Mailing address

4924 Lindermer Ave
Bethel Park, PA 15102-2814
Phone (412) 833-6377

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
I20170113001111 PA Order and Referring Only - DentistPractitioner - Dentist 0042592727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-027670-LPAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Periodontal Care Associates LLC Periodontics Past Accepting new patients

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": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1629253133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 LINDERMER AVE",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022814",
            "telephone_number": "412-833-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 LINDERMER AVE",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022814",
            "telephone_number": "412-833-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCASTRO",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS-027670-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.