Richard a. Dukovich, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS025717L Issued in PA

Legal business name

RICHARD A. DUKOVICH, D.M.D.

Practice address

4880 Library Rd Ste F
Bethel Park, PA 15102-2946

Phone

(412) 831-3853

Fax

(412) 831-7425

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Richard A. Dukovich, D.M.D.NPI 1821105917

Title

Dentist Owner

Phone

(412) 831-3853

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Dukovich, DMD

  • Dentist
  • Bethel Park, PA
  • NPI 1821105917
  NPD (past) Authorized official
• William Robert Ferguson III, D.M.D.

  • Dentist
  • Bethel Park, PA
  • NPI 1679865026
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033230511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 LIBRARY RD STE F",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022946",
            "telephone_number": "412-831-3853",
            "fax_number": "412-831-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LIBRARY RD STE F",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022946",
            "telephone_number": "412-831-3853",
            "fax_number": "412-831-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. DUKOVICH, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKOVICH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "412-831-3853",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025717L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036422L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "172-4132",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KORCH NPI",
            "identifier": "1902976889",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "435-351",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "192-4037",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUKOVICH NPI",
            "identifier": "1821105917",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Redd
• Kayla Michele Redmond, CRNP
• Kelli Ann Rehkop, PTA
• Eric John Reitz, D.M.D.
• Erin Resetar, PHARMD
• Christopher Michael Ritchie, COTA/L
• Rite Aid of Pennsylvania LLC
• Rite Aid of Pennsylvania LLC
• Michelle Roberts
• Nicole Victoria Rodi

• Dentist in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.