Organization Active NPI

Iannessa Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Moon Township, PA
National Provider Identifier
1255650297
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS036521 Issued in PA
Legal business name
IANNESSA PEDIATRIC DENTISTRY, P.C.
Practice address
980 Beaver Grade Road
Suite 101
Moon Township, PA 15108
Phone
(412) 329-7267
NPI assigned
May 28, 2010
Last updated
May 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Dr. Christina L Iannessa, D.M.D.NPI 1285763953
Title
President/Owner
Phone
(412) 329-7267

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
Pediatric Dentistry 1223P0221X DS036521 PA Primary

Addresses

Primary practice location

980 Beaver Grade Road
Suite 101
Moon Township, PA 15108

Mailing address

980 Beaver Grade Road
Suite 101
Moon Township, PA 15108
Phone (412) 329-7267

National Provider Directory

National Provider Directory

Locations

980 Beaver Grade Rd
Ste 101
Moon Township, PA 15108
Phone (412) 329-7267

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1255650297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BEAVER GRADE ROAD",
            "address_2": "SUITE 101",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-329-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BEAVER GRADE ROAD",
            "address_2": "SUITE 101",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-329-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IANNESSA PEDIATRIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "IANNESSA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "412-329-7267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS036521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.