NPIMap

Organization Active NPI

Pittsburgh Dental Sleep Medicine, Inc.

Doing business as Pennsylvania Dental Sleep Medicine

  • Durable Medical Equipment & Medical Supplies
  • Harrisburg, PA
National Provider Identifier
1336875681
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PITTSBURGH DENTAL SLEEP MEDICINE, INC.
Doing business as
Pennsylvania Dental Sleep Medicine
Practice address
4813 Jonestown Rd Ste 104
Harrisburg, PA 17109-1700
Phone
(717) 995-3590
Fax
(717) 995-3591
NPI assigned
Jul 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Carly Mundie
Title
Practice Manager
Phone
(724) 935-6670

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

4813 Jonestown Rd Ste 104
Harrisburg, PA 17109-1700

Mailing address

11676 Perry Hwy Ste 3201
Wexford, PA 15090-7204
Phone (724) 935-6670

Other names 1

  • Pennsylvania Dental Sleep Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070719000637 PA Part B Supplier - Clinic/Group Practice 9032210182 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Harrisburg, PA; MC Murray, PA; Monroeville, PA; Wexford, PA
O20241204000132 PA DME Supplier - Oral Surgery - Dentist 9032210182 Practice locations: Harrisburg, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pitts DNTL SLP Med PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Steubenville Pike
Burgettstown, PA 15021
Phone (724) 729-3660

4813 Jonestown Rd
Ste 104
Harrisburg, PA 17109
Phone (717) 995-3590

355 5th Ave
Ste 820
Pittsburgh, PA 15222
Phone (412) 391-4300

3506 5th Ave
Pittsburgh, PA 15213
Phone (412) 374-9030

11676 Perry Hwy
Ste 3201
Wexford, PA 15090
Phone (724) 935-6670

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1336875681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY STE 3201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907204",
            "telephone_number": "724-935-6670",
            "fax_number": "724-935-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 JONESTOWN RD STE 104",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091700",
            "telephone_number": "717-995-3590",
            "fax_number": "717-995-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH DENTAL SLEEP MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MUNDIE",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "724-935-6670"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennsylvania Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pennsylvania Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.