Individual provider Active NPI

Peter J Duryea, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1205939162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018662L Issued in PA
Practice address
7180 Highland Dr
VA Pittsburgh Healthcare System
Pittsburgh, PA 15206-1206
Phone
(412) 365-4561
Fax
(412) 365-4267
NPI assigned
Sep 6, 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 DS018662L PA Primary

Addresses

Primary practice location

7180 Highland Dr
VA Pittsburgh Healthcare System
Pittsburgh, PA 15206-1206

Mailing address

7180 Highland Drive
VA Pittsburgh Healthcare System
Pittsburgh, PA 15206
Phone (412) 365-4561

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
DS018662LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205939162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 HIGHLAND DRIVE",
            "address_2": "VA PITTSBURGH HEALTHCARE SYSTEM",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-365-4561",
            "fax_number": "412-365-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 HIGHLAND DR",
            "address_2": "VA PITTSBURGH HEALTHCARE SYSTEM",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152061206",
            "telephone_number": "412-365-4561",
            "fax_number": "412-365-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURYEA",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018662L",
            "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.