NPIMap

Organization Active NPI

Dental Professionals of Pennsylvania, P.C.

Doing business as Keystone Mini Dental Implant Center, LLC

  • General Practice Dentistry
  • North Huntingdon, PA
National Provider Identifier
1124769393
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Doing business as
Keystone Mini Dental Implant Center, LLC
Practice address
8489 Country Club Dr Ste 4
North Huntingdon, PA 15642-4160
Phone
(724) 230-4429
NPI assigned
Apr 4, 2022
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 383-0157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8489 Country Club Dr Ste 4
North Huntingdon, PA 15642-4160

Mailing address

11521 Parkway Dr Ste 2
North Huntingdon, PA 15642-2053

Other names 1

  • Keystone Mini Dental Implant Center, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Pennslyvania40 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Pennslyvania

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

11521 Parkway Dr
#2
North Huntingdon, PA 15642
Phone (724) 863-9100

11521 Parkway Dr
Ste 1
North Huntingdon, PA 15642

8489 Country Club Dr
Ste 4
North Huntingdon, PA 15642
Phone (724) 230-4429

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1124769393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11521 PARKWAY DR STE 2",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8489 COUNTRY CLUB DR STE 4",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156424160",
            "telephone_number": "724-230-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.",
        "enumeration_date": "2022-04-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-383-0157"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Mini Dental Implant Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keystone Mini Dental Implant Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.