Individual provider Active NPI

Jon Randall Armstrong, DDS

  • General Practice Dentistry
  • Mt Lebanon, PA
National Provider Identifier
1871716167
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS44352 Issued in PA
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

Updated by the provider on May 7, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504001100 WI Order and Referring Only - DentistPractitioner - Dentist 4486738218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS44352PAMDGeneral Practice Dentistry
4986WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Pennsylvania, P.C. General Practice CurrentSince Jan 19, 2025 Accepting new patients
Dental Haus of Monroe LLC PastSince Nov 17, 2019 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.

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

Verify at the official NPI Registry.