Active NPI
Abraham Roberto Valenzuela, DDS
- Dentist
- Smithfield, PA
National Provider Identifier
1194456939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043719
- Practice address
- 3090 Morgantown Rd
Smithfield, PA 15478-1725 - Phone
- (724) 569-4400
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS043719 | PA | Primary |
Addresses
Primary practice location
3090 Morgantown Rd
Smithfield, PA 15478-1725
Mailing address
347 Falcon Run
Morgantown, WV 26508-4526
Phone (304) 322-0924
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS043719 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1194456939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 FALCON RUN",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265084526",
"telephone_number": "304-322-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 MORGANTOWN RD",
"city": "SMITHFIELD",
"state": "PA",
"postal_code": "154781725",
"telephone_number": "724-569-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "ABRAHAM",
"middle_name": "ROBERTO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.