Individual provider Active NPI

Brett Crell, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bethel Park, PA
National Provider Identifier
1306627864
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS044369 Issued in PA
Practice address
2414 Lytle Rd Ste 100
Bethel Park, PA 15102-2755
Phone
(302) 650-8730
NPI assigned
Oct 11, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS044369 PA Primary

Addresses

Primary practice location

2414 Lytle Rd Ste 100
Bethel Park, PA 15102-2755

Mailing address

338 Estates Dr
Camden, DE 19934-4616
Phone (302) 650-8730

Other practice location 1

1580 McLaughlin Run Rd Ste 200
Pittsburgh, PA 15241-3100
Phone (412) 221-0392

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

LicenseStateTypeSpecialty
DS044369PAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Crell DDS P.C. Orthodontics and Dentofacial Orthopedics CurrentSince Oct 15, 2023 Accepting new patients

Locations

2414 Lytle Rd
Ste 100
Bethel Park, PA 15102
Phone (302) 650-8730

1580 McLaughlin Run Rd
Ste 200
Upper Saint Clair, PA 15241
Phone (412) 221-0392

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1306627864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 ESTATES DR",
            "city": "CAMDEN",
            "state": "DE",
            "postal_code": "199344616",
            "telephone_number": "302-650-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD STE 100",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022755",
            "telephone_number": "302-650-8730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 McLaughlin Run Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152413100",
            "country_code": "US",
            "telephone_number": "412-221-0392",
            "fax_number": "412-221-1114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRELL",
        "first_name": "BRETT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS044369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.