Individual provider Active NPI

Dennis N Zeidler, DMD

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1932117942
Registry record updated Jan 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS027053L Issued in PA
Practice address
1501 Potomac Ave
Pittsburgh, PA 15216-2135
Phone
(412) 531-3400
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS027053L PA Primary
Dentist 122300000X 0401411185 VA

Addresses

Primary practice location

1501 Potomac Ave
Pittsburgh, PA 15216-2135

Mailing address

1501 Potomac Ave
Pittsburgh, PA 15216-2135
Phone (412) 531-3400

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
I20150521001872 PA Order and Referring Only - DentistPractitioner - Dentist 5496075087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027053LPAMDDentist
0401411185VAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483747200000",
    "number": "1932117942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 POTOMAC AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162135",
            "telephone_number": "412-531-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 POTOMAC AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152162135",
            "telephone_number": "412-531-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIDLER",
        "first_name": "DENNIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2017-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027053L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.