Omni Dental Shadyside LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OMNI DENTAL SHADYSIDE LLC

Practice address

202 S Highland Ave
Pittsburgh, PA 15206-3913

Phone

(412) 362-5556

Fax

(724) 909-1670

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Hanlon, DMD

Title

Owner

Phone

(412) 362-5556

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1023602265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 WASHINGTON RD STE 3",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173281",
            "telephone_number": "412-362-5556",
            "fax_number": "724-909-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S HIGHLAND AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063913",
            "telephone_number": "412-362-5556",
            "fax_number": "724-909-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL SHADYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-362-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@omnidentalshadyside.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "202 S Highland Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152063913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Omicelo Construction Group
• Omicelo Health Inc
• Omicelo Health PA LLC
• Omicelo LLC
• Omni Dental Shadyside GPS PLLC
• Omnicare Pharmacies of PA West LLC (Omnicare of Pittsburgh)
• Omnihealth DME LLC
• On Call Medical Solutions PC
• On-Site Companionship Services LLC
• Onc, Lymph and Pelvic Physio LLC (Om Physio Pgh)

• Dental Clinic/Center in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.