Active NPI
Spencer Dylan Regelson, DDS
- General Practice Dentistry
- Pittsburgh, PA
National Provider Identifier
1821688128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS043556
- Practice address
- 3501 Terrace Street
G-32 Salk Hall
Pittsburgh, PA 15261 - Phone
- (412) 648-8604
- NPI assigned
- Jan 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019033092 | IL | |
| Dentist | 122300000X | DS043556 | PA | |
| General Practice Dentistry | 1223G0001X | DS043556 | PA | Primary |
Addresses
Primary practice location
3501 Terrace Street
G-32 Salk Hall
Pittsburgh, PA 15261
Mailing address
3600 Forbes Avenue
Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (412) 647-5815
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019033092 | Other | IL | ILLINOIS LICENSE |
| 319022454 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| DS043556 | Other | PA | PENNSYLVANIA DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043556 | PA | MD | General Practice Dentistry |
Interoperability endpoints
- sregelson115490@uihealth.direct-ci.com
- spencer.d.regelson@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1821688128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER - PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "412-647-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE STREET",
"address_2": "G-32 SALK HALL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15261",
"telephone_number": "412-648-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGELSON",
"first_name": "SPENCER",
"middle_name": "DYLAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019033092",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043556",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS043556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "019033092",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS CONTROLLED SUBSTANCE LICENSE",
"identifier": "319022454",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA DENTAL LICENSE",
"identifier": "DS043556",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.