NPIMap

Organization Active NPI

Peace Dental, PC

  • General Practice Dentistry
  • Glenshaw, PA
National Provider Identifier
1013093640
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025199L Issued in PA
Legal business name
PEACE DENTAL, PC
Practice address
1509 Mount Royal Blvd
Glenshaw, PA 15116-2207
Phone
(412) 486-5155
Fax
(412) 487-3525
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Arnold M. Peace, D.M.D.NPI 1710064548
Title
Dentist
Phone
(412) 486-5155

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS025199L PA Primary

Addresses

Primary practice location

1509 Mount Royal Blvd
Glenshaw, PA 15116-2207

Mailing address

1509 Mount Royal Blvd
Glenshaw, PA 15116-2207
Phone (412) 486-5155

Other identifiers 2

IdentifierTypeStateIssuer
127987OtherPAUNITED CONCORDIA
2105700OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1509 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 486-5155

Practitioners & affiliated clinicians

Practitioners 5

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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1013093640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162207",
            "telephone_number": "412-486-5155",
            "fax_number": "412-487-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162207",
            "telephone_number": "412-486-5155",
            "fax_number": "412-487-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "PEACE",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "412-486-5155",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025199L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "127987",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "2105700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenshaw, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.