Individual provider Active NPI

Martin Edward Eichner, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Monroeville, PA
National Provider Identifier
1992781512
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS024245L Issued in PA
Practice address
2550 Mosside Blvd Ste 214
Monroeville, PA 15146-3531
Phone
(412) 372-4489
Fax
(412) 372-9114
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DS024245L PA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS024245L PA

Addresses

Primary practice location

2550 Mosside Blvd Ste 214
Monroeville, PA 15146-3531

Mailing address

5820 Centre Ave Ste 200
Pittsburgh, PA 15206-3710
Phone (412) 661-7694

Other practice location 1

5820 Centre Ave Ste 200
Pittsburgh, PA 15206
Phone (412) 595-7775

Other practice location 2

322 Schenley Rd
Pittsburgh, PA 15217-1173
Phone (412) 302-0344

Other practice location 3

180 Fort Couch Rd Ste 450
Pittsburgh, PA 15241-1031
Phone (412) 595-7775

Other practice location 4

301 1st Ave
Tarentum, PA 15084-1858
Phone (724) 224-4463

Other identifiers 1

IdentifierTypeStateIssuer
1085998MedicaidPA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000613 PA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 7911917133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Case Western University School of Dental Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Oral Surgery, P.C.Group PAC ID 5799723821, 5 clinicians

Practice addresses (Care Compare)

5820 Centre Ave
Suite 200
Pittsburgh, PA 15206-3710
Phone (412) 661-7690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024245LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Oral Surgery, P.C. Oral and Maxillofacial Surgery CurrentSince Jul 10, 1987 Accepting new patients

Locations

2550 Mosside Blvd
Ste 214
Monroeville, PA 15146
Phone (412) 372-4489

5820 Centre Ave
Ste 200
Pittsburgh, PA 15206
Phone (412) 595-7775

5820 Centre Ave
#200
Pittsburgh, PA 15206
Phone (412) 661-7690

180 Fort Couch Rd
Ste 450
Pittsburgh, PA 15241
Phone (412) 595-7775

301 E 1st Ave
Ste A
Tarentum, PA 15084
Phone (724) 224-4463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1992781512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MOSSIDE BLVD STE 214",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463531",
            "telephone_number": "412-372-4489",
            "fax_number": "412-372-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5820 Centre Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15206",
            "country_code": "US",
            "telephone_number": "412-595-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Schenley Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152171173",
            "country_code": "US",
            "telephone_number": "412-302-0344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 Fort Couch Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152411031",
            "country_code": "US",
            "telephone_number": "412-595-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Tarentum",
            "state": "PA",
            "postal_code": "150841858",
            "country_code": "US",
            "telephone_number": "724-224-4463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EICHNER",
        "first_name": "MARTIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024245L",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024245L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1085998",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.