Terrific Teeth Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TERRIFIC TEETH PEDIATRIC DENTISTRY LLC

Practice address

1229 Silver LN
MC Kees Rocks, PA 15136-1063

Phone

(412) 859-3199

NPI assigned

Jan 23, 2019

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly P Lewis, DDSNPI 1124347950

Title

Pediatric Dentist

Phone

(703) 819-5276

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Lewis, DDS

  • Pediatric Dentistry
  • Pittsburgh, PA
  • NPI 1124347950
  NPD (past) Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1336603554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MILTON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181234",
            "telephone_number": "703-819-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 SILVER LN",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361063",
            "telephone_number": "412-859-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRIFIC TEETH PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "703-819-5276",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Swierkosz
• Synergy Homecare of Pittsburgh West
• Nadereh Tafreshi-Darabi, MD
• Rona Tamosauskas, PT
• Melinda Tarquinio, P.T.
• Ashley Deborah Teti
• Hope Marie Thomas
• Thrift Drug Inc (Rite Aid Pharmacy)
• Thrift Drug Inc (Rite Aid Pharmacy 10914)
• Kacy-Ann Juliana Tibby

• Pediatric Dentistry in McKees Rocks, PA
• Providers in McKees Rocks, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.