Ami Dhaduk

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS043429 Issued in PA

Practice address

510 Pellis Rd Ste 102
Greensburg, PA 15601-4583

Phone

(724) 832-2255

NPI assigned

Feb 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dhaduk Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Greensburg, PA
  • NPI 1235815705
  NPD Authorized official
• Keith Gjebre DMD LLC

  • Pediatric Dentistry
  • Greensburg, PA
  • NPI 1487732913
  NPD (past)

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1306386180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PELLIS RD STE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014583",
            "telephone_number": "724-832-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PELLIS RD STE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014583",
            "telephone_number": "724-832-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHADUK",
        "first_name": "AMI",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth L. Detschelt, M.D
• Shea Devine, DMD
• Hannah Ellen Devitt
• David Mark Dewitt, LMFT, LPC
• Dhaduk Pediatric Dentistry PLLC
• Erica Nicole Diandreth-Smith, DPT
• Jamie P Diandreth, PT
• Nicholas Diandreth
• Diane Kerrigan Counseling LLC
• Jill Alaine Dibert, OTRL

• Pediatric Dentistry in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.