NPIMap

Organization Active NPI

Pearl Dentistry of South Hills PLLC

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1164186938
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEARL DENTISTRY OF SOUTH HILLS PLLC
Doing business as
Pearl Dentistry of South Hills PLLC
Practice address
901 Castle Shannon Blvd
Pittsburgh, PA 15234-1603
Phone
(412) 561-6660
Fax
(412) 766-7532
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Authorized official

Name
Dr. Matthew Lee Weiss, DMDNPI 1164872214
Title
Owner/DMD
Phone
(724) 612-2729

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

901 Castle Shannon Blvd
Pittsburgh, PA 15234-1603

Mailing address

901 Castle Shannon Blvd
Pittsburgh, PA 15234-1603
Phone (412) 561-6660

Other identifiers 1

IdentifierTypeStateIssuer
1164872214MedicaidPA

Other names 1

  • Pearl Dentistry of South Hills PLLC Doing business as

National Provider Directory

National Provider Directory

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": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1164186938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341603",
            "telephone_number": "412-561-6660",
            "fax_number": "412-766-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CASTLE SHANNON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341603",
            "telephone_number": "412-561-6660",
            "fax_number": "412-766-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTISTRY OF SOUTH HILLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/DMD",
        "authorized_official_telephone_number": "724-612-2729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164872214",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dentistry of South Hills PLLC",
            "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 Oct 27, 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.

Verify at the official NPI Registry.