Organization Active NPI

Fitzgerald Dental Associates, PC

  • Dentist
  • Sarver, PA
National Provider Identifier
1053551002
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FITZGERALD DENTAL ASSOCIATES, PC
Practice address
270 Buffalo PLZ
Sarver, PA 16055-8302
Phone
(724) 294-0011
Fax
(724) 294-2811
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Authorized official

Name
Kimberly Ann Fitzgerald, DMDNPI 1841321221
Title
Doctor/President
Phone
(724) 294-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

270 Buffalo PLZ
Sarver, PA 16055-8302

Mailing address

270 Buffalo PLZ
Sarver, PA 16055-8302
Phone (724) 294-0011

National Provider Directory

National Provider Directory

Locations

270 Buffalo Plz
Sarver, PA 16055
Phone (724) 294-0011

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1053551002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 BUFFALO PLZ",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558302",
            "telephone_number": "724-294-0011",
            "fax_number": "724-294-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BUFFALO PLZ",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558302",
            "telephone_number": "724-294-0011",
            "fax_number": "724-294-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZGERALD DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "724-294-0011",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.