NPIMap

Organization Active NPI

Dzuban Dental Associates

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1003011925
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026891L Issued in PA
Legal business name
DZUBAN DENTAL ASSOCIATES
Practice address
300 Penn Center Blvd
Suite 210
Pittsburgh, PA 15235
Phone
(412) 825-0200
Fax
(412) 825-4627
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John M Dzuban, DMDNPI 1477673648
Title
General Partner
Phone
(412) 825-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS026891L PA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DS028795L PA

Addresses

Primary practice location

300 Penn Center Blvd
Suite 210
Pittsburgh, PA 15235

Mailing address

300 Penn Center Blvd
Suite 210
Pittsburgh, PA 15235
Phone (412) 825-0200

National Provider Directory

National Provider Directory
Tax ID family
Dzuban Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Penn Center Blvd
Ste 210
Pittsburgh, PA 15235
Phone (412) 825-0200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003011925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD",
            "address_2": "SUITE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-825-0200",
            "fax_number": "412-825-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PENN CENTER BLVD",
            "address_2": "SUITE 210",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-825-0200",
            "fax_number": "412-825-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZUBAN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DZUBAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "412-825-0200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026891L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028795L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.