Individual provider Active NPI

Lawrence Louis Mauro Jr., D.M.D

  • Dentist
  • Titusville, PA
National Provider Identifier
1831117753
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035809 Issued in PA
Practice address
406 W Oak St
Titusville, PA 16354-1499
Phone
(814) 827-9770
Fax
(814) 827-3556
NPI assigned
Jul 18, 2006
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS035809 PA Primary

Addresses

Primary practice location

406 W Oak St
Titusville, PA 16354-1499

Mailing address

9401 McKnight Rd Ste 307
Pittsburgh, PA 15237-6000
Phone (412) 364-1477

Other practice location 1

9401 McKnight Rd
Suite 307
Pittsburgh, PA 15237-6000
Phone (412) 364-1477

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
I20260522000092 PA Practitioner - Dentist 6608346473

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

406 W Oak St
Titiusville, PA 16354-1404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS035809PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Pennsylvania, P.C. PastSince Jul 24, 2022 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1831117753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD STE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376000",
            "telephone_number": "412-364-1477",
            "fax_number": "412-996-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541499",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 McKnight Rd",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152376000",
            "country_code": "US",
            "telephone_number": "412-364-1477",
            "fax_number": "412-996-6429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURO",
        "first_name": "LAWRENCE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.