Organization Active NPI

University of Pittsburgh School of Dental Medicine

  • Dental Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1346645637
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS040091 Issued in PA
Legal business name
UNIVERSITY OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
Practice address
3501 Terrace
Salk Hall
Pittsburgh, PA 15261-4448
Phone
(412) 648-8616
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Eric Anthony Heckenbach
Title
Dentist
Phone
(847) 254-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS040091 PA Primary

Addresses

Primary practice location

3501 Terrace
Salk Hall
Pittsburgh, PA 15261-4448

Mailing address

507 Shady Ave
Apt C4
Pittsburgh, PA 15206-4448

National Provider Directory

National Provider Directory
Tax ID family
Pittsburgh Cancer Insti9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1346645637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 SHADY AVE",
            "address_2": "APT C4",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE",
            "address_2": "SALK HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152614448",
            "telephone_number": "412-648-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF PITTSBURGH SCHOOL OF DENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "HECKENBACH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-254-2109"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS040091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.