Individual provider Active NPI

Michael Allen Cuddy, DMD

  • Dental Anesthesiology
  • Pittsburgh, PA
National Provider Identifier
1265417935
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DA-029713-A Issued in PA
Practice address
3501 Terrace St.
Suite 3189
Pittsburgh, PA 15261-0001
Phone
(412) 648-9100
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS 029713 L PA
Dental Anesthesiology 1223D0004X DA-029713-A PA Primary

Addresses

Primary practice location

3501 Terrace St.
Suite 3189
Pittsburgh, PA 15261-0001

Mailing address

3501 Terrace St.
G-89 Salk Hall
Pittsburgh, PA 15261
Phone (412) 648-8609

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
I20060221000234 PA Practitioner - Oral Surgery 1658386131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Univ of Pittsburgh School of Dental Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dental Health Services, Inc.Group PAC ID 2769387752, 10 clinicians

Practice addresses (Care Compare)

3459 5TH Ave
Suite 202
Pittsburgh, PA 15213-3236
Phone (412) 648-6080

3501 Terrace St
Suite 3189
Pittsburgh, PA 15261-2523
Phone (412) 648-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 029713 LPAMDDentist
DA-029713-APAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Health Services, Inc. CurrentSince Jul 31, 2012 Accepting new patients
Austin Geriatric Specialists, PLLC Past Accepting new patients

Locations

3501 Ter St
Pittsburgh, PA 15261
Phone (412) 648-6361

3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 383-7483

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1265417935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST.",
            "address_2": "G-89 SALK HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15261",
            "telephone_number": "412-648-8609"
        },
        {
            "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": "152610001",
            "telephone_number": "412-648-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDDY",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS 029713 L",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "PA",
            "license": "DA-029713-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.