Individual provider Active NPI

Alexandra Dee Fuller, DDS

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1184177941
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044604 Issued in PA
Practice address
950 Greentree Rd Ste 300
Pittsburgh, PA 15220-3314
Phone
(412) 921-2545
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059108-1 NY
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DS044604 PA Primary

Addresses

Primary practice location

950 Greentree Rd Ste 300
Pittsburgh, PA 15220-3314

Mailing address

5683 Wagner Hill Road
Avoca, NY 14809
Phone (585) 314-9095

Other practice location 1

20300 State Rte 19
Cranberry Township, PA 16066
Phone (412) 265-9888

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
059108-1NYMDGeneral Practice Dentistry
DS044604PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Dental Group/Greentree LLC General Practice CurrentSince Jul 13, 2025 Accepting new patients

Locations

950 Greentree Rd
Ste 300
Pittsburgh, PA 15220
Phone (201) 841-1815

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1184177941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 WAGNER HILL ROAD",
            "city": "AVOCA",
            "state": "NY",
            "postal_code": "14809",
            "telephone_number": "585-314-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 GREENTREE RD STE 300",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203314",
            "telephone_number": "412-921-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20300 State Rte 19",
            "address_purpose": "LOCATION",
            "city": "Cranberry Township",
            "state": "PA",
            "postal_code": "16066",
            "country_code": "US",
            "telephone_number": "412-265-9888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ALEXANDRA",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059108-1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044604",
            "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 10, 2025; 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.