Active NPI
Martinna Bertolini, DDS, MSC, PHD
- Periodontics
- Pittsburgh, PA
National Provider Identifier
1013408608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- RFD000051
- Practice address
- 3501 Terrace St
Pittsburgh, PA 15213-2523 - Phone
- (412) 383-2778
- NPI assigned
- May 20, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 12283 | CT | |
| Periodontics | 1223P0300X | RFD000051 | PA | Primary |
Addresses
Primary practice location
3501 Terrace St
Pittsburgh, PA 15213-2523
Mailing address
3501 Terrace St
Pittsburgh, PA 15213-2523
Phone (412) 383-2778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RFD000051 | PA | MD | Periodontist |
| 12283 | CT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1013408608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-383-2778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152132523",
"telephone_number": "412-383-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLINI",
"first_name": "MARTINNA",
"credential": "DDS, MSC, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-20",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "12283",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "RFD000051",
"primary": true
}
],
"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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.