Louis Emil Damich Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS020020L Issued in PA

Practice address

212 Washington Ave
Bridgeville, PA 15017

Phone

(412) 221-1400

Fax

(412) 221-5774

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pearl Dentistry of Bridgeville, PLLC

  • Dental Clinic/Center
  • Bridgeville, PA
  • NPI 1902616915
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225045115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-221-1400",
            "fax_number": "412-221-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WASHINGTON AVE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "15017",
            "telephone_number": "412-221-1400",
            "fax_number": "412-221-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMICH",
        "first_name": "LOUIS",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020020L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Crompton, LPC
• Evan Patrick Csir, MA, NCC, LBS, LPC
• Katie Lynn Cunningham
• Mary Patricia Dabrawsky
• Ankita Dahal
• Moutaz Dandashi, DMD
• Brian Peter Davies, M.D.
• Erin D Davies, MD
• Melissa Hugar Davin, PT
• Julia Defrancisis, LPC

• Dentist in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Dentist in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.