Individual provider Active NPI

Dante Jesse Dimatteo, PHARM.D

  • Pharmacist
  • Oakmont, PA
National Provider Identifier
1114688488
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452762 Issued in PA
Practice address
215 Allegheny Ave Ste 102
Oakmont, PA 15139-2092
Phone
(412) 826-9500
Fax
(412) 826-1884
NPI assigned
Jan 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452762 PA Primary

Addresses

Primary practice location

215 Allegheny Ave Ste 102
Oakmont, PA 15139-2092

Mailing address

215 Allegheny Ave Ste 102
Oakmont, PA 15139-2092
Phone (412) 826-9500

Other identifiers 2

IdentifierTypeStateIssuer
RPI012508OtherPAAUTHORIZATION TO ADMINISTER INJECTABLES
RP452762OtherPAPHARMACIST LICENSE NUMBER

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP452762PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1114688488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ALLEGHENY AVE STE 102",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392092",
            "telephone_number": "412-826-9500",
            "fax_number": "412-826-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ALLEGHENY AVE STE 102",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151392092",
            "telephone_number": "412-826-9500",
            "fax_number": "412-826-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMATTEO",
        "first_name": "DANTE",
        "middle_name": "JESSE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTHORIZATION TO ADMINISTER INJECTABLES",
            "identifier": "RPI012508",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "RP452762",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.