Individual provider Active NPI

Steven R Uretsky, D.M.D.

  • Periodontics
  • Pittsburgh, PA
National Provider Identifier
1285852780
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS023141-L Issued in PA
Practice address
1900 Murray Ave
Suite 201
Pittsburgh, PA 15217-1657
Phone
(412) 421-9000
Fax
(412) 421-7879
NPI assigned
Apr 23, 2007
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS023141-L PA Primary

Addresses

Primary practice location

1900 Murray Ave
Suite 201
Pittsburgh, PA 15217-1657

Mailing address

1900 Murray Ave
Ste 201
Pittsburgh, PA 15217-1657
Phone (412) 421-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 17, 2021 through Jun 17, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS023141-LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1285852780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE",
            "address_2": "STE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-421-9000",
            "fax_number": "412-421-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-421-9000",
            "fax_number": "412-421-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URETSKY",
        "first_name": "STEVEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS023141-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.