Active NPI
Mallory Jordan Dance, AUD
- Audiologist
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006476
- Practice address
- 4815 Liberty Ave Ste 443
Pittsburgh, PA 15224-2156 - Phone
- (412) 621-2656
- NPI assigned
- Jan 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006476 | PA | Primary |
Addresses
Primary practice location
4815 Liberty Ave Ste 443
Pittsburgh, PA 15224-2156
Mailing address
4815 Liberty Ave Ste 443
Pittsburgh, PA 15224-2156
Phone (412) 621-2656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15441266 | Other | CAQH |
Other names 1
- Mallory Jordan Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5140 Liberty Ave
Suite 102
Pittsburgh, PA 15224-2215
Phone (412) 681-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (4 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center | Past | Accepting new patients |
Locations
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
4815 Liberty Ave
Ste 443
Pittsburgh, PA 15224
Phone (412) 621-2656
5140 Liberty Ave
Ste 102
Pittsburgh, PA 15224
Phone (412) 359-3445
Networks
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- OH PPO
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Internal Medicine Physician
- Cranberry Township, PA
- NPI 1720414865
-
- Community/Retail Pharmacy
- Hershey, PA
- NPI 1902283799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1003352691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 443",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-621-2656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 LIBERTY AVE STE 443",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152242156",
"telephone_number": "412-621-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANCE",
"first_name": "MALLORY",
"middle_name": "JORDAN",
"name_prefix": "Ms.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "15441266",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORY",
"last_name": "SNYDER",
"middle_name": "JORDAN",
"credential": "AUD",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.