Individual provider Active NPI

Matilda Dhima, DMD, MS

  • Prosthodontics
  • Pittsburgh, PA
National Provider Identifier
1225266943
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS039457 Issued in PA
Practice address
3501 Terrace St
Suite 3189
Pittsburgh, PA 15213-2523
Phone
(412) 648-9100
NPI assigned
Jul 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DS039457 PA Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D12734 MN

Addresses

Primary practice location

3501 Terrace St
Suite 3189
Pittsburgh, PA 15213-2523

Mailing address

3501 Terrace St
Suite 3189
Pittsburgh, PA 15213-2523

Other identifiers 2

IdentifierTypeStateIssuer
P00863973OtherMNMEDICARE - RAIL ROAD
ENROLLEDMedicaidMN

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)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Matilda Dhima DMD,Ms PLLC Prosthodontics Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1225266943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523",
            "telephone_number": "412-648-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHIMA",
        "first_name": "MATILDA",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS039457",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "D12734",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RAIL ROAD",
            "identifier": "P00863973",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "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 3, 2013; 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.