NPIMap

Organization Active NPI

Three Rivers Dental Group/Cranberry LLC

  • Dentist
  • Cranberry TWP, PA
National Provider Identifier
1134659816
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS021586L Issued in PA
Legal business name
THREE RIVERS DENTAL GROUP/CRANBERRY LLC
Practice address
20300 Route 19
Unit 10
Cranberry TWP, PA 16066-6126
Phone
(412) 265-9888
Fax
(724) 591-8636
NPI assigned
Jun 15, 2017
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Anabianca Rudolph, D.M.D.NPI 1497141667
Title
Owner
Phone
(412) 265-9888

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
Dentist 122300000X DS021586L PA Primary

Addresses

Primary practice location

20300 Route 19
Unit 10
Cranberry TWP, PA 16066-6126

Mailing address

20300 Route 19
Unit 10
Cranberry TWP, PA 16066-6126
Phone (412) 265-9888

National Provider Directory

National Provider Directory

Locations

20300 Route 19
Unit 10
Cranberry Twp, PA 16066
Phone (412) 265-9888

121 Donohoe Rd
Greensburg, PA 15601
Phone (724) 836-1777

Practitioners & affiliated clinicians

Practitioners 6

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": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1134659816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 ROUTE 19",
            "address_2": "UNIT 10",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666126",
            "telephone_number": "412-265-9888",
            "fax_number": "724-591-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 ROUTE 19",
            "address_2": "UNIT 10",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666126",
            "telephone_number": "412-265-9888",
            "fax_number": "724-591-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS DENTAL GROUP/CRANBERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "ANABIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-265-9888",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021586L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.