Individual provider Active NPI

Paulina Rodrigues, DDS

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1013458777
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS04387 Issued in PA
Practice address
9170 Covenant Ave BLDG a-2
Pittsburgh, PA 15237-5961
Phone
(412) 548-0184
NPI assigned
Mar 14, 2017
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 061286 NY
Dentist 122300000X DN1857850 MA
Dentist 122300000X DS04387 PA Primary

Addresses

Primary practice location

9170 Covenant Ave BLDG a-2
Pittsburgh, PA 15237-5961

Mailing address

9170 Covenant Ave BLDG a-2
Pittsburgh, PA 15237-5961

Other practice location 1

1691 Pennsylvania 228
Cranberry Township, PA 16066
Phone (724) 584-5954

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1857850MAMDDentist
DS04387PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Pennsylvania Dental Group CurrentSince Apr 24, 2022 Accepting new patients

Locations

9170 Covenant Ave
Bldg A2
Pittsburgh, PA 15237
Phone (412) 548-0184

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1013458777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9170 COVENANT AVE BLDG A-2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 COVENANT AVE BLDG A-2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375961",
            "telephone_number": "412-548-0184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1691 Pennsylvania 228",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "16066",
            "country_code": "US",
            "telephone_number": "724-584-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUES",
        "first_name": "PAULINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061286",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1857850",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS04387",
            "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 Jan 28, 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.

Verify at the official NPI Registry.