Individual provider Active NPI

Daniel Joseph Spellman, DMD

  • General Practice Dentistry
  • Munhall, PA
National Provider Identifier
1891895561
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
PA020066DS Issued in PA
Practice address
4117 Main St
Munhall, PA 15120-3327
Phone
(412) 464-1976
Fax
(412) 464-0426
NPI assigned
Sep 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 PA020066DS PA Primary

Addresses

Primary practice location

4117 Main St
Munhall, PA 15120-3327

Mailing address

4117 Main St
Munhall, PA 15120-3327
Phone (412) 464-1976

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
I20160208000309 PA Order and Referring Only - DentistPractitioner - Dentist 5890099196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA020066DSPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J. Spellman DMD PC 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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891895561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 MAIN ST",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "151203327",
            "telephone_number": "412-464-1976",
            "fax_number": "412-464-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 MAIN ST",
            "city": "MUNHALL",
            "state": "PA",
            "postal_code": "151203327",
            "telephone_number": "412-464-1976",
            "fax_number": "412-464-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMAN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "PA020066DS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munhall, PA

Sources for this page

Verify at the official NPI Registry.