Individual provider Active NPI

Marc D Verner, D.M.D

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1942380233
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DL-029139 Issued in PA
Practice address
4123 Brownsville Rd
Pittsburgh, PA 15227-3306
Phone
(412) 882-4500
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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 DL-029139 PA Primary

Addresses

Primary practice location

4123 Brownsville Rd
Pittsburgh, PA 15227-3306

Mailing address

642 Bower Hill Rd
Venetia, PA 15367-1311
Phone (724) 969-0337

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
I20160729001984 PA Order and Referring Only - DentistPractitioner - Dentist 8325331218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL-029139PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1942380233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 BOWER HILL RD",
            "city": "VENETIA",
            "state": "PA",
            "postal_code": "153671311",
            "telephone_number": "724-969-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 BROWNSVILLE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152273306",
            "telephone_number": "412-882-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNER",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DL-029139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.