Individual provider Active NPI

Michael Martin Bianco, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
National Provider Identifier
1780756007
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS021964L Issued in PA
Practice address
88 Fort Couch Rd
Suite # 202
Pittsburgh, PA 15241-1034
Phone
(412) 835-1111
Fax
(412) 835-1443
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS021964L PA Primary

Addresses

Primary practice location

88 Fort Couch Rd
Suite # 202
Pittsburgh, PA 15241-1034

Mailing address

88 Fort Couch Rd
Suite # 202
Pittsburgh, PA 15241-1034
Phone (412) 835-1111

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
I20051207000235 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 6608896576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Pittsburgh School of Dental Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Fort Couch Rd
Pittsburgh, PA 15241-1042
Phone (412) 835-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Bianco DMD Inc. Oral and Maxillofacial Surgery CurrentSince Nov 4, 2005 Accepting new patients

Locations

1725 Washington Rd
Ste 607
Pittsburgh, PA 15241
Phone (412) 835-1111

88 Fort Couch Rd
Ste 202
Pittsburgh, PA 15241
Phone (412) 835-1111

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1780756007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 FORT COUCH RD",
            "address_2": "SUITE # 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411034",
            "telephone_number": "412-835-1111",
            "fax_number": "412-835-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FORT COUCH RD",
            "address_2": "SUITE # 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411034",
            "telephone_number": "412-835-1111",
            "fax_number": "412-835-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCO",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS021964L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.