Individual provider Active NPI

Zachary D Raffensperger, DMD

  • Prosthodontics
  • Pittsburgh, PA
National Provider Identifier
1841744455
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS040856 Issued in PA
Practice address
5500 Corporate Dr Ste 310
Pittsburgh, PA 15237-5886
Phone
(412) 219-9609
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040856 PA
Prosthodontics 1223P0700X DS040856 PA Primary

Addresses

Primary practice location

5500 Corporate Dr Ste 310
Pittsburgh, PA 15237-5886

Mailing address

115 Crestview Ave
New Holland, PA 17557-1523
Phone (717) 475-2848

Other practice location 1

3501 Terrace St
Salk Hall
Pittsburgh, PA 15213-2523
Phone (412) 648-8616

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
I20210202000070 PA Order and Referring Only - DentistPractitioner - Dentist 6507270600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040856PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. 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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1841744455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESTVIEW AVE",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571523",
            "telephone_number": "717-475-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 CORPORATE DR STE 310",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375886",
            "telephone_number": "412-219-9609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Terrace St",
            "address_2": "Salk Hall",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132523",
            "country_code": "US",
            "telephone_number": "412-648-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFFENSPERGER",
        "first_name": "ZACHARY",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040856",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS040856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.