BAN AL QAZZAZ DMD
NPI 1629811815
Dentist in Clarion, PA

Q: 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.

Q: What is Ban Al Qazzaz's specialty?

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

Q: 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 23 months 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.

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: August 16, 2026.

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

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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 Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Ban Al Qazzaz accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 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 23 months 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.