Active NPI
Gruendel Eans PC
Doing business as Drs. Gruendel, Eans & Young
- Prosthodontics
- Pittsburgh, PA
National Provider Identifier
1144335464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS019246L
- Legal business name
- GRUENDEL EANS PC
- Doing business as
- Drs. Gruendel, Eans & Young
- Practice address
- 3506 5TH Ave
Pittsburgh, PA 15213-3310 - Phone
- (412) 621-0200
- Fax
- (412) 621-9414
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Fisher
- Title
- Front Office/ Ins. Coord
- Phone
- (412) 621-0200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS016567L | PA | |
| Prosthodontics | 1223P0700X | DS019246L | PA | Primary |
| Prosthodontics | 1223P0700X | DS024036L | PA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
3506 5TH Ave
Pittsburgh, PA 15213-3310
Mailing address
3506 5TH Ave
Pittsburgh, PA 15213-3310
Phone (412) 621-0200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS019246L | Other | PA | STATE DENTAL LICENSE |
| DS024036L | Other | PA | STATE DENTAL LICENSE |
| DS042054 | Other | PA | STATE DENTAL LICENSE |
| DS039211 | Other | PA | STATE DENTAL LICENSE |
Other names 1
- Drs. Gruendel, Eans & Young
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617580800000",
"number": "1144335464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 5TH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133310",
"telephone_number": "412-621-0200",
"fax_number": "412-621-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 5TH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133310",
"telephone_number": "412-621-0200",
"fax_number": "412-621-9414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUENDEL EANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "FRONT OFFICE/ INS. COORD",
"authorized_official_telephone_number": "412-621-0200"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS016567L",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS019246L",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS024036L",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DS019246L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DS024036L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DS042054",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "DS039211",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drs. Gruendel, Eans & Young",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.