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BAN AL QAZZAZ DMD
NPI 1629811815
Dentist in Clarion, PA

Active since June 14, 2024PECOS Enrolled
30 PINNACLE DR, CLARION, PA 16214(814) 223-9906 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2024, Jun 14, 2024 (2 updates tracked since 2024).

About Ban Al Qazzaz Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAN AL QAZZAZ DMD (NPI 1629811815) is an individual dentist in Clarion, Pennsylvania, licensed in Pennsylvania (DS044699) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629811815
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBAN AL QAZZAZCredential: DMD
Location Address30 PINNACLE DRClarion, PA 16214-3800
Mailing Address63 Pitt StSharon, PA 16146-2102 · (814) 223-9914 · Fax (814) 223-9917
Phone(814) 223-9906
Sole ProprietorYes
Enumeration DateJune 14, 2024
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1629811815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS044699
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License DS044699 (PA)
30 PINNACLE DR, Clarion, PA 16214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ban Al Qazzaz Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ban Al Qazzaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Health Network
54 mi
Federally Qualified Health Center (FQHC)
348 MAIN ST
Greenville, PA 16125
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 164 clinicians in this Medicare group
NPI 1093946626 (724) 588-5250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE WALTERS
Nurse Practitioner
30 PINNACLE DR, SUITE 301
CLARION, PA 16214
Clarion County (814) 226-1820
OLIVIA RUTH SHINGLEDECKER RDH
Dental Hygienist
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9906
MRS. SARAH GIRARDI
Nurse Practitioner (Family)
30 PINNACLE DR, #301
CLARION, PA 16214
Clarion County (814) 226-1820
BRENDA DAUGHERTY-SHRIVASTAVA
Counselor (Professional)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914
TERRY LOGAN LCSW
Social Worker (Clinical)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9900
AUDREY ELIZABETH KLINE LPC
Counselor (Mental Health)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914
JOHNNA DANAE RAPP
Dental Hygienist
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9906
MELEIGHA MAGAGNOTTI LPC
Counselor (Professional)
30 PINNACLE DR
CLARION, PA 16214
Clarion County (814) 223-9914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ban Al Qazzaz's NPI number?

The NPI number for Ban Al Qazzaz is 1629811815. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Ban Al Qazzaz located?

Ban Al Qazzaz practices at 30 Pinnacle Dr, Clarion, PA 16214. The listed phone number is (814) 223-9906.

What is Ban Al Qazzaz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ban Al Qazzaz enrolled in Medicare?

Yes. Ban Al Qazzaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ban Al Qazzaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ban Al Qazzaz reassigns Medicare benefits to Primary Health Network (Greenville, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ban Al Qazzaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ban Al Qazzaz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 10 other insurers list Ban Al Qazzaz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ban Al Qazzaz was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.