Active NPI
Jon Randall Armstrong, DDS
- General Practice Dentistry
- Mt Lebanon, PA
National Provider Identifier
1871716167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS44352
- Practice address
- 528 Washington Rd
Mt Lebanon, PA 15228-2817 - Phone
- (412) 343-5422
- NPI assigned
- Apr 11, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4986-15 | WI | |
| General Practice Dentistry | 1223G0001X | DS44352 | PA | Primary |
Addresses
Primary practice location
528 Washington Rd
Mt Lebanon, PA 15228-2817
Mailing address
624 30TH Ave
Monroe, WI 53566-1936
Phone (608) 558-1417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150504001100 | WI | Order and Referring Only - Dentist | 4486738218 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS44352 | PA | MD | General Practice Dentistry |
| 4986 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Pennsylvania, P.C. | General Practice | Current | Accepting new patients |
| Dental Haus of Monroe LLC | Past | Accepting new patients |
Locations
528 Washington Rd
Pittsburgh, PA 15228
Phone (412) 343-5422
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Mt Lebanon, PA
- NPI 1770267288
-
- Dental Clinic/Center
- Monroe, WI
- NPI 1548804560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1871716167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 30TH AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661936",
"telephone_number": "608-558-1417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 WASHINGTON RD",
"city": "MT LEBANON",
"state": "PA",
"postal_code": "152282817",
"telephone_number": "412-343-5422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "JON",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "4986-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS44352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.