Organization Active NPI

Nista Family Dental Center

Doing business as Nista Family Dental Center PC

  • Dental Clinic/Center
  • Export, PA
National Provider Identifier
1003319260
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS030346L Issued in PA
Legal business name
NISTA FAMILY DENTAL CENTER
Doing business as
Nista Family Dental Center PC
Practice address
105 Pfeffer Rd Ste 2
Export, PA 15632-2046
Phone
(724) 733-3762
Fax
(724) 325-8058
NPI assigned
Mar 14, 2018
Last updated
Mar 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Mark A Nista, DMDNPI 1912090820
Title
Owner
Phone
(724) 733-3762

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS030346L PA Primary

Addresses

Primary practice location

105 Pfeffer Rd Ste 2
Export, PA 15632-2046

Mailing address

105 Pfeffer Rd Ste 2
Export, PA 15632-2046
Phone (724) 733-3762

Other names 1

  • Nista Family Dental Center PC Doing business as

National Provider Directory

National Provider Directory

Locations

105 Pfeffer Rd
Ste 2
Export, PA 15632
Phone (724) 325-5500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1003319260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PFEFFER RD STE 2",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156322046",
            "telephone_number": "724-733-3762",
            "fax_number": "724-325-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PFEFFER RD STE 2",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156322046",
            "telephone_number": "724-733-3762",
            "fax_number": "724-325-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISTA FAMILY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "NISTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-733-3762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS030346L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nista Family Dental Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Export, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.