NPIMap

Organization Active NPI

Upmc Children'S Hospital of Pittsburgh Dental Services

  • Pediatric Dentistry
  • Pittsburgh, PA
National Provider Identifier
1285829028
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
291201 Issued in PA
Legal business name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL SERVICES
Practice address
4401 Penn Ave
Pittsburgh, PA 15224
Phone
(412) 692-5440
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Nicholas Barcellona
Title
Cfo
Phone
(412) 692-7331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 291201 PA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 291201 PA

Addresses

Primary practice location

4401 Penn Ave
Pittsburgh, PA 15224

Mailing address

PO Box 382007
Pittsburgh, PA 15251-8007
Phone (412) 692-5440

Other practice location 1

3705 5th Ave
Pittsburgh, PA 15213-2584
Phone (412) 692-5440

Other identifiers 2

IdentifierTypeStateIssuer
1007347990015MedicaidPA
000149658OtherPAUCCI

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Opti19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1285829028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382007",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152518007",
            "telephone_number": "412-692-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "412-692-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132584",
            "country_code": "US",
            "telephone_number": "412-692-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "BARCELLONA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "412-692-7331"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "291201",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "291201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007347990015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "000149658",
            "state": "PA"
        }
    ],
    "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 31, 2018; 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.