NPIMap

Organization Active NPI

St. Barnabas Medical Center, Inc

Doing business as St. Barnabas Dental

  • Customized Equipment (DME)
  • Beaver, PA
National Provider Identifier
1659663565
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DS021853L Issued in PA
Legal business name
ST. BARNABAS MEDICAL CENTER, INC
Doing business as
St. Barnabas Dental
Practice address
5060 Tuscarawas Rd
Beaver, PA 15009-1006
Phone
(724) 495-3350
NPI assigned
May 11, 2011
Last updated
Nov 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. BARNABAS MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Michele R Snyder
Title
Administrative Director
Phone
(724) 443-7231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DS021853L PA Primary

Addresses

Primary practice location

5060 Tuscarawas Rd
Beaver, PA 15009-1006

Mailing address

5830 Meridian Rd
Gibsonia, PA 15044-9668
Phone (724) 443-7231

Other names 1

  • St. Barnabas Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041104000791 PA Part B Supplier - Clinic/Group Practice 1153384839 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaver, PA; Gibsonia, PA
O20200824003735 PA DME Supplier - Physician - General PracticeDME Supplier - Oral Surgery - Dentist 1153384839 1 other NPI on this enrollment
Practice locations: Beaver, PA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Barnabas Medical Center6 organizations share this tax ID, including this one
Part of
St Barnabas Medical Center

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1659663565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449668",
            "telephone_number": "724-443-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091006",
            "telephone_number": "724-495-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BARNABAS MEDICAL CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. BARNABAS MEDICAL CENTER, INC.",
        "enumeration_date": "2011-05-11",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "724-443-7231"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "DS021853L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Barnabas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.