Individual provider Active NPI

Maryam A. Chiani, DMD

  • Prosthodontics
  • Mount Lebanon, PA
National Provider Identifier
1114952959
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS028155L Issued in PA
Practice address
520 Washington Rd
Suite 100
Mount Lebanon, PA 15228-2819
Phone
(412) 341-0979
Fax
(412) 341-0194
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS028155L PA Primary

Addresses

Primary practice location

520 Washington Rd
Suite 100
Mount Lebanon, PA 15228-2819

Mailing address

520 Washington Rd
Suite 100
Mount Lebanon, PA 15228-2819
Phone (412) 341-0979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150609001526 PA Order and Referring Only - DentistPractitioner - Dentist 0749501203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028155LPAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryam a Chiani, DMD, LLC Prosthodontics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1114952959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MOUNT LEBANON",
            "state": "PA",
            "postal_code": "152282819",
            "telephone_number": "412-341-0979",
            "fax_number": "412-341-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MOUNT LEBANON",
            "state": "PA",
            "postal_code": "152282819",
            "telephone_number": "412-341-0979",
            "fax_number": "412-341-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANI",
        "first_name": "MARYAM",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS028155L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Lebanon, PA

Sources for this page

Verify at the official NPI Registry.