Individual provider Active NPI

Abbas Athari, D.D.S.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1164501607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS025399L Issued in PA
Practice address
2541 Allender Ave
Pittsburgh, PA 15220-3034
Phone
(412) 344-6639
Fax
(412) 531-9221
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS025399L PA Primary

Addresses

Primary practice location

2541 Allender Ave
Pittsburgh, PA 15220-3034

Mailing address

2541 Allender Ave
Pittsburgh, PA 15220-3034
Phone (412) 344-6639

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

LicenseStateTypeSpecialty
DS025399LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164501607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 ALLENDER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203034",
            "telephone_number": "412-344-6639",
            "fax_number": "412-531-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 ALLENDER AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203034",
            "telephone_number": "412-344-6639",
            "fax_number": "412-531-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHARI",
        "first_name": "ABBAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025399L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.