Edward Dale Osborne, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS021380L Issued in PA

Practice address

3219 State Route 257
Seneca, PA 16246

Phone

(814) 676-2259

Fax

(814) 676-2034

NPI assigned

Oct 11, 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

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

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750479010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "address_2": "3219 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16346",
            "telephone_number": "814-676-2259",
            "fax_number": "814-676-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "16246",
            "telephone_number": "814-676-2259",
            "fax_number": "814-676-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "EDWARD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021380L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinwe Offor, MD
• Alexa Leann Ohle, PA-C
• Optical World 257 Inc.
• Marilyn Ann Orsino
• Benjamin Joseph Osborne, DMD
• Anita Marie Ottobre, CRNA
• Darla Kay Pasikoski, OTR/L
• Danielle Payne, MPT
• Shannon Kristen Penland, MD
• Penn Neuromuscular Diagnostics, LLC

• Dentist in Seneca, PA
• Providers in Seneca, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.