Active NPI
Earl Douglas Childs, D.M.D.
- General Practice Dentistry
- Pittsburgh, PA
National Provider Identifier
1043225477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS022960L
- Practice address
- 1420 Centre Ave
Suite 2
Pittsburgh, PA 15219-3537 - Phone
- (412) 261-6333
- Fax
- (412) 261-2995
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS022960L | PA | Primary |
Addresses
Primary practice location
1420 Centre Ave
Suite 2
Pittsburgh, PA 15219-3537
Mailing address
1420 Centre Ave
Suite 2
Pittsburgh, PA 15219-3537
Phone (412) 261-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150611000152 | PA | Order and Referring Only - Oral Surgery | 1254652654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022960L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043225477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 CENTRE AVE",
"address_2": "SUITE 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152193537",
"telephone_number": "412-261-6333",
"fax_number": "412-261-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 CENTRE AVE",
"address_2": "SUITE 2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152193537",
"telephone_number": "412-261-6333",
"fax_number": "412-261-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "EARL",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS022960L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
- Children'S Hospital of Pittsburgh of Upmc
- Children'S Hospital of Pittsburgh of Upmc
- Children'S Hospital of Pittsburgh of Upmc
- Children'S Hospital of Pittsburgh Upmc
- Children'S Institute of Pittsburgh
- Julianne Rue Childs, MED
- Robin Lynn Chimile Chileski, PA-C
- Mikhail Chilingaryan, MD
- Matthew Chilton, MD
- Megan Elizabeth Chimera, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.