Active NPI
John C Affolter, DMD
- Dentist
- Pittsburgh, PA
National Provider Identifier
1679730170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN023075L
- Practice address
- 2A Old Clairton Rd
Pittsburgh, PA 15236-3905 - Phone
- (412) 466-6900
- Fax
- (412) 466-7463
- NPI assigned
- May 21, 2008
- Last updated
- Apr 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN023075L | PA | Primary |
Addresses
Primary practice location
2A Old Clairton Rd
Pittsburgh, PA 15236-3905
Mailing address
926 Great Pond Dr
Suite 2003
Altamonte Springs, FL 32714-7244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008742130003 | Medicaid | PA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150514002016 | PA | Order and Referring Only - Dentist | 4082934005 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN023075L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1679730170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 GREAT POND DR",
"address_2": "SUITE 2003",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327147244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2A OLD CLAIRTON RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152363905",
"telephone_number": "412-466-6900",
"fax_number": "412-466-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFFOLTER",
"first_name": "JOHN",
"middle_name": "C",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DN023075L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008742130003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
- Aesthetic Plastic Surgery of Pittsburgh, LLC
- Henrietta A Afari, MD
- Sara L Affalter, LPC
- Affinity Care of Pittsburgh LLC
- Derek Kwasi Afflu, M.D.
- Affordable Dental Care (emmert dental associates)
- Affordable Dentures & Implants of Pennsylvania IX, PLLC (Affordable Dentures & Implants - Ross Township)
- Affordable Dentures & Implants of Pennsylvania VIII, PLLC (Affordable Dentures & Implants - Robinson)
- Affordable Hearing AIDS by Zounds
- Jodi Patricia Affuso
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.