Individual provider Active NPI

Amy Lange Cabe, DDS

  • General Practice Dentistry
  • Canonsburg, PA
National Provider Identifier
1851436844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS035119 Issued in PA
Practice address
501 Corporate Dr
Suite 220
Canonsburg, PA 15317-8584
Phone
(724) 746-5020
Fax
(724) 746-7110
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS035119 PA Primary

Addresses

Primary practice location

501 Corporate Dr
Suite 220
Canonsburg, PA 15317-8584

Mailing address

454 Ironwood Dr
Canonsburg, PA 15317-9569
Phone (724) 746-5020

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
I20160322002564 PA Order and Referring Only - DentistPractitioner - Dentist 8022315852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS035119PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851436844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 IRONWOOD DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179569",
            "telephone_number": "724-746-5020",
            "fax_number": "724-746-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CORPORATE DR",
            "address_2": "SUITE 220",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178584",
            "telephone_number": "724-746-5020",
            "fax_number": "724-746-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABE",
        "first_name": "AMY",
        "middle_name": "LANGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

Verify at the official NPI Registry.