Individual provider Active NPI

Laura Awadalla, DDS

  • General Practice Dentistry
  • Monroeville, PA
National Provider Identifier
1063867018
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041195 Issued in PA
Practice address
4075 Monroeville Blvd
Monroeville, PA 15146-2525
Phone
(412) 856-4877
NPI assigned
Apr 27, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041195 PA Primary
Student in an Organized Health Care Education/Training Program 390200000X OH

Addresses

Primary practice location

4075 Monroeville Blvd
Monroeville, PA 15146-2525

Mailing address

6213 Spirit St Apt 481
Pittsburgh, PA 15206-3194
Phone (330) 727-4430

Other practice location 1

1001 Covington St
Youngstown, OH 44510-1617
Phone (330) 480-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627001825 OH Order and Referring Only - DentistPractitioner - Dentist 5092006700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041195PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pinelli & Bella PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063867018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SPIRIT ST APT 481",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063194",
            "telephone_number": "330-727-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MONROEVILLE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462525",
            "telephone_number": "412-856-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Covington St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445101617",
            "country_code": "US",
            "telephone_number": "330-480-3195",
            "fax_number": "330-480-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AWADALLA",
        "first_name": "LAURA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041195",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.