NPIMap

Organization Active NPI

Vivid Dental PLLC

  • Dentist
  • Allison Park, PA
National Provider Identifier
1275240244
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VIVID DENTAL PLLC
Practice address
4290 William Flynn Hwy Ste 202
Allison Park, PA 15101-1443
Phone
(412) 213-0075
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Megan Ross, DMDNPI 1568922714
Title
President
Phone
(412) 929-0254

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4290 William Flynn Hwy Ste 202
Allison Park, PA 15101-1443

Mailing address

PO Box 16008
Pittsburgh, PA 15242-0008
Phone (412) 929-0254

National Provider Directory

National Provider Directory

Locations

4290 William Flynn Hwy
Ste 202
Allison Park, PA 15101
Phone (412) 213-0075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1275240244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16008",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152420008",
            "telephone_number": "412-929-0254",
            "fax_number": "412-920-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 WILLIAM FLYNN HWY STE 202",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011443",
            "telephone_number": "412-213-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVID DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-929-0254",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.