Organization Active NPI

Steliotes Dental Spa Rpllc

  • Dentist
  • McMurray, PA
National Provider Identifier
1104970821
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS028308L Issued in PA
Legal business name
STELIOTES DENTAL SPA RPLLC
Practice address
4249 Washington Rd
McMurray, PA 15317-2565
Phone
(724) 942-4445
Fax
(724) 942-5380
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Theodore Peter Steliotes, DMDNPI 1447216833
Title
President
Phone
(724) 942-4445

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: 193200000X MULTI-SPECIALTY GROUP 122300000X DS028308L PA Primary

Addresses

Primary practice location

4249 Washington Rd
McMurray, PA 15317-2565

Mailing address

4249 Washington Rd
McMurray, PA 15317-2565
Phone (724) 942-4445

Other identifiers 1

IdentifierTypeStateIssuer
001346750OtherPAUCCI PRACTICE ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1104970821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 WASHINGTON RD",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172565",
            "telephone_number": "724-942-4445",
            "fax_number": "724-942-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 WASHINGTON RD",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153172565",
            "telephone_number": "724-942-4445",
            "fax_number": "724-942-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELIOTES DENTAL SPA RPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "STELIOTES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-942-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028308L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI PRACTICE ID",
            "identifier": "001346750",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMurray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.