Organization Active NPI

Shannon Passineau Cosmetic & Family Dentistry PLLC

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1205308541
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHANNON PASSINEAU COSMETIC & FAMILY DENTISTRY PLLC
Practice address
958 Perry Hwy
Pittsburgh, PA 15237-2133
Phone
(412) 761-1919
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Dr. Shannon Passineau, DMDNPI 1891938932
Title
Dentist/Owner
Phone
(412) 216-5027

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

958 Perry Hwy
Pittsburgh, PA 15237-2133

Mailing address

958 Perry Hwy
Pittsburgh, PA 15237-2133
Phone (412) 761-1919

National Provider Directory

National Provider Directory

Locations

958 Perry Hwy
Pittsburgh, PA 15237
Phone (412) 364-5612

51 N Balph Ave
Pittsburgh, PA 15202
Phone (412) 761-1919

Practitioners & affiliated clinicians

Practitioners 1

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": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1205308541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372133",
            "telephone_number": "412-761-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372133",
            "telephone_number": "412-761-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON PASSINEAU COSMETIC & FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "PASSINEAU",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "412-216-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Feb 13, 2024; 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.