NPIMap

Organization Active NPI

Western Pennsylvania Dental Group

  • General Practice Dentistry
  • Murrysville, PA
National Provider Identifier
1154892297
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTERN PENNSYLVANIA DENTAL GROUP
Practice address
4774 Old William Penn Hwy Ste 200
Murrysville, PA 15668-2011
Phone
(724) 325-3770
Fax
(724) 325-1274
NPI assigned
Dec 16, 2018
Organization subpart
Yes
Parent organization
WESTERN PENNSYLVANIA DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4774 Old William Penn Hwy Ste 200
Murrysville, PA 15668-2011

Mailing address

4774 Old William Penn Hwy Ste 200
Murrysville, PA 15668-2011
Phone (724) 325-3770

Other names 1

  • Chestnut Hills Dental Murrysville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chestnut Hills Dental15 organizations share this tax ID, including this one
Part of
Chestnut Hills Dental

Other organizations with this tax ID 14

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

View all 14

Locations

4774 Old William Penn Hwy
#200
Murrysville, PA 15668
Phone (724) 325-3770

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1154892297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 OLD WILLIAM PENN HWY STE 200",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682011",
            "telephone_number": "724-325-3770",
            "fax_number": "724-325-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 OLD WILLIAM PENN HWY STE 200",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682011",
            "telephone_number": "724-325-3770",
            "fax_number": "724-325-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hills Dental Murrysville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.