Individual provider Active NPI

Michael A Dobos

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1780818344
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-021212-L Issued in PA
Practice address
3501 Terrace St
3028 Salk Annex
Pittsburgh, PA 15261
Phone
(412) 648-9882
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-021212-L PA Primary

Addresses

Primary practice location

3501 Terrace St
3028 Salk Annex
Pittsburgh, PA 15261

Mailing address

3501 Terrace St
3028 Salk Annex
Pittsburgh, PA 15261
Phone (412) 648-9882

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
I20160713000088 PA Order and Referring Only - DentistPractitioner - Dentist 4082906003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-021212-LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1780818344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "3028 SALK ANNEX",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15261",
            "telephone_number": "412-648-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "3028 SALK ANNEX",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15261",
            "telephone_number": "412-648-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBOS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-021212-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.