Active NPI
Mahru Malekiha, DMD
- Dentist
- Greensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044653
- Practice address
- 259 Old Route 30 Ste D
Greensburg, PA 15601-6926 - Phone
- (724) 836-6884
- NPI assigned
- Jun 22, 2022
- Last updated
- Jun 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.033653 | IL | |
| Dentist | 122300000X | DN27723 | FL | |
| Dentist | 122300000X | DS044653 | PA | Primary |
Addresses
Primary practice location
259 Old Route 30 Ste D
Greensburg, PA 15601-6926
Mailing address
259 Old Route 30 Ste D
Greensburg, PA 15601-6926
Phone (724) 836-6884
Other practice location 1
2771 Monument Rd Ste 21
Jacksonville, FL 32225-3514
Phone (904) 641-3732
Other practice location 2
2161 Bloomingdale Rd
Glendale Heights, IL 60139-1679
Phone (630) 893-1300
Other practice location 3
76 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-5182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27723 | FL | MD | Dentist |
| 019.033653 | IL | MD | Dentist |
| DS044653 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Petnuch DMD PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Willowbrook Dental Associates
- General Practice Dentistry
- Greensburg, PA
- NPI 1588672588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1306577192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 OLD ROUTE 30 STE D",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016926",
"telephone_number": "724-836-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 OLD ROUTE 30 STE D",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016926",
"telephone_number": "724-836-6884"
}
],
"practiceLocations": [
{
"address_1": "2771 Monument Rd Ste 21",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322253514",
"country_code": "US",
"telephone_number": "904-641-3732",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2161 Bloomingdale Rd",
"address_purpose": "LOCATION",
"city": "Glendale Heights",
"state": "IL",
"postal_code": "601391679",
"country_code": "US",
"telephone_number": "630-893-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "76 Stratford Dr",
"address_purpose": "LOCATION",
"city": "Bloomingdale",
"state": "IL",
"postal_code": "601082201",
"country_code": "US",
"telephone_number": "630-893-5182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALEKIHA",
"first_name": "MAHRU",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-22",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.033653",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN27723",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS044653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.