Complete Dental Care of Whitaker

Primary specialty

DentistTaxonomy code 122300000X

License

DS035693 Issued in PA

Legal business name

COMPLETE DENTAL CARE OF WHITAKER

Practice address

107 Whitaker St
Homestead, PA 15120-2411

Phone

(412) 462-7710

Fax

(412) 462-7710

NPI assigned

Oct 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Doyle Jr., DMD

Title

Owner/Dentist

Phone

(412) 462-7710

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1104298728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WHITAKER ST",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202411",
            "telephone_number": "412-462-7710",
            "fax_number": "412-462-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WHITAKER ST",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202411",
            "telephone_number": "412-462-7710",
            "fax_number": "412-462-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE OF WHITAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "412-462-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035693",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037954",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102026760",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10303064",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Callaghan
• Jessica Lynne Carlson, OTR
• Kristina B Castellani, M.A.
• Xinzhi Chen
• Abby Churchfield
• Erik Lee Cornell, MS-CCC-SLP
• Daniel Crimaldi, RN
• Christine Ramos Dario
• Kaylee Rae Dellert, MS OTR/L
• Kara Jane Dicarlo, LSW

• Dentist in Homestead, PA
• Providers in Homestead, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.