Upmc Presbyterian Shadyside

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS029690L Issued in PA

Legal business name

UPMC PRESBYTERIAN SHADYSIDE

Practice address

3459 5TH Ave
Suite 202 South
Pittsburgh, PA 15213-3236

Phone

(412) 648-6080

Fax

(412) 648-6798

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Teresa Smith

Title

Administrative Coordinator

Phone

(412) 648-6080

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043392855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "SUITE 202 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-648-6080",
            "fax_number": "412-648-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE",
            "address_2": "SUITE 202 SOUTH",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-648-6080",
            "fax_number": "412-648-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC PRESBYTERIAN SHADYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "412-648-6080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS027010L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS029690L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019040145",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upmc Passavant
• Upmc Passavant
• Upmc Passavant
• Upmc Presby Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside
• Upmc Presbyterian Shadyside

• Oral and Maxillofacial Surgery (Dentist) in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.