Individual provider Active NPI

Richard A Shanty, D.D.S.

  • General Practice Dentistry
  • Kittanning, PA
National Provider Identifier
1255318184
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027979-L Issued in PA
Practice address
159 Butler Rd
Suite #4
Kittanning, PA 16201-2328
Phone
(724) 543-5684
Fax
(724) 543-3688
NPI assigned
Dec 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DS027979-L PA Primary

Addresses

Primary practice location

159 Butler Rd
Suite #4
Kittanning, PA 16201-2328

Mailing address

159 Butler Rd
Suite #4
Kittanning, PA 16201-2328
Phone (724) 543-5684

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151214000909 PA Order and Referring Only - DentistPractitioner - Dentist 8022319268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027979-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255318184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE #4",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-543-5684",
            "fax_number": "724-543-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BUTLER RD",
            "address_2": "SUITE #4",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012328",
            "telephone_number": "724-543-5684",
            "fax_number": "724-543-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027979-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.