Active NPI
Alyssa Marie Stiles
- Specialist
- Pittsburgh, PA
National Provider Identifier
1063950251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 401 Shady Ave # G-100
Pittsburgh, PA 15206-4409 - Phone
- (412) 407-2668
- NPI assigned
- Feb 7, 2017
- Last updated
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH071760 | PA | |
| Dental Hygienist | 124Q00000X | PHDH000970 | PA | |
| Dental Hygienist | 124Q00000X | DHA002013 | PA | |
| Dental Assistant | 126800000X | DF004742 | PA | |
| Specialist | 174400000X | NU | Primary | |
| Massage Therapist | 225700000X | MSG013114 | PA |
Addresses
Primary practice location
401 Shady Ave # G-100
Pittsburgh, PA 15206-4409
Mailing address
401 Shady Ave # G-100
Pittsburgh, PA 15206-4409
Phone (412) 407-2668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH071760 | PA | MD | Dental Hygienist |
| DHA002013 | PA | MD | Dental Hygienist |
| PHDH000970 | PA | MD | Dental Hygienist |
| DF004742 | PA | MD | Dental Assistant |
| MSG013114 | PA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pittsburgh Orofacial Myofunctional Therapy, LLC | Dental Hygienist | Current | Accepting new patients |
Locations
226 Paul St
Ste 105
Pittsburgh, PA 15211
Phone (412) 440-7441
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.
-
- Specialist
- Pittsburgh, PA
- NPI 1538609482
Dental Hygienist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1063950251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SHADY AVE # G-100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-407-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SHADY AVE # G-100",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152064409",
"telephone_number": "412-407-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH071760",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "PHDH000970",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DHA002013",
"primary": false
},
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "PA",
"license": "DF004742",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "PA",
"license": "MSG013114",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.