Individual provider Active NPI

Philip Joseph Losco, DMD

  • General Practice Dentistry
  • Blairsville, PA
National Provider Identifier
1801810171
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-0024655-L Issued in PA
Practice address
435 S Walnut St
Blairsville, PA 15717-1535
Phone
(724) 459-6240
NPI assigned
Jul 27, 2006
Last updated
Feb 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-0024655-L PA Primary

Addresses

Primary practice location

435 S Walnut St
Blairsville, PA 15717-1535

Mailing address

155 E Market St
Ste 3
Blairsville, PA 15717-1357
Phone (724) 459-5885

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
I20160204000877 PA Order and Referring Only - DentistPractitioner - Dentist 3678877032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-0024655-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Dental Inc General Practice Past Accepting new patients

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1801810171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E MARKET ST",
            "address_2": "STE 3",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171357",
            "telephone_number": "724-459-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S WALNUT ST",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171535",
            "telephone_number": "724-459-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSCO",
        "first_name": "PHILIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-0024655-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

Verify at the official NPI Registry.