Active NPI
Alayna Mickoloff, DMD
- Dentist
- Gibsonia, PA
National Provider Identifier
1134960719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044645
- Practice address
- 5161 William Flynn Hwy Ste B
Gibsonia, PA 15044-8401 - Phone
- (724) 939-3032
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS044645 | PA | Primary |
Addresses
Primary practice location
5161 William Flynn Hwy Ste B
Gibsonia, PA 15044-8401
Mailing address
93 Skyview Dr
Canonsburg, PA 15317-2854
Phone (724) 344-7344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS044645 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1134960719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 SKYVIEW DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153172854",
"telephone_number": "724-344-7344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5161 WILLIAM FLYNN HWY STE B",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150448401",
"telephone_number": "724-939-3032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKOLOFF",
"first_name": "ALAYNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.