Individual provider Active NPI

Hongjiao Ouyang, DMD

  • Endodontics
  • Pittsburgh, PA
National Provider Identifier
1013150697
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
34986 Issued in TX
Practice address
3501 Terrace St
Suite 3189
Pittsburgh, PA 15261-0001
Phone
(412) 648-9100
Fax
(412) 383-7862
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 34986 TX Primary
Endodontics 1223E0200X DS037793 PA

Addresses

Primary practice location

3501 Terrace St
Suite 3189
Pittsburgh, PA 15261-0001

Mailing address

3501 Terrace St
Suite 3189
Pittsburgh, PA 15261-0001
Phone (412) 648-9100

Other identifiers 1

IdentifierTypeStateIssuer
DS037793OtherSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717001282 TX Order and Referring Only - DentistPractitioner - Dentist 2365802816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037793PAMDEndodontist
34986TXMDEndodontist

Networks

  • TX HMO D-SNP
  • NM HMO C-SNP

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1013150697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152610001",
            "telephone_number": "412-648-9100",
            "fax_number": "412-383-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152610001",
            "telephone_number": "412-648-9100",
            "fax_number": "412-383-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUYANG",
        "first_name": "HONGJIAO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "34986",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS037793",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS037793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.