NPIMap

Organization Active NPI

Edp of Pennsylvania PC

  • Dental Clinic/Center
  • Johnstown, PA
National Provider Identifier
1366958407
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EDP OF PENNSYLVANIA PC
Practice address
1390 Eisenhower Blvd
Johnstown, PA 15904-3216
Phone
(814) 535-5244
NPI assigned
Dec 27, 2017
Last updated
Sep 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Melissa Garibay
Title
Credentialing MNGR.
Phone
(312) 736-8963

Specialties & licenses 1

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

Addresses

Primary practice location

1390 Eisenhower Blvd
Johnstown, PA 15904-3216

Mailing address

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 800-1270

Other practice location 1

7546 State Route 30
Irwin, PA 15642-7528
Phone (724) 864-2888

Other practice location 2

4328 Old William Penn Hwy
Monroeville, PA 15146-1496
Phone (412) 373-7777

Other practice location 3

300 Fleet St Ste 200
Pittsburgh, PA 15220-2921
Phone (412) 937-9070

Other practice location 4

841 Clairton Blvd
Pleasant Hills, PA 15236-4518
Phone (412) 655-9600

Other practice location 5

5 Commerce Ave
Selinsgrove, PA 17870-7615
Phone (570) 374-3368

Other practice location 6

4945 Homeville Rd
West Mifflin, PA 15122-2956
Phone (412) 466-9466

Other practice location 7

2120 Fisher Rd
Mechanicsburg, PA 17055-5122
Phone (717) 795-9392

Other practice location 8

26 Roth Church Rd
Spring Grove, PA 17362-1406
Phone (717) 225-5741

Other practice location 9

1500 Market St Ste C-41
Philadelphia, PA 19102-2100
Phone (215) 972-0406

Other practice location 10

141 W Jackson Blvd Ste 210
Chicago, IL 60604-3048
Phone (312) 800-1270

National Provider Directory

National Provider Directory
Tax ID family
Edp of Pennsylvania PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

7546 State Route 30
Irwin, PA 15642
Phone (412) 653-4900

1390 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 535-5244

2120 Fisher Rd
Mechanicsburg, PA 17055
Phone (717) 795-9392

4328 Old William Penn Hwy
Monroeville, PA 15146
Phone (412) 373-7777

300 Fleet St
Ste 200
Pittsburgh, PA 15220
Phone (412) 937-9070

841 Clairton Blvd
Pleasant Hills, PA 15236
Phone (412) 460-1470

26 Roth Church Rd
Spring Grove, PA 17362
Phone (717) 225-5741

Ownership & related parties

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1366958407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043048",
            "telephone_number": "312-800-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043216",
            "telephone_number": "814-535-5244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7546 State Route 30",
            "address_purpose": "LOCATION",
            "city": "Irwin",
            "state": "PA",
            "postal_code": "156427528",
            "country_code": "US",
            "telephone_number": "724-864-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4328 Old William Penn Hwy",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151461496",
            "country_code": "US",
            "telephone_number": "412-373-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Fleet St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152202921",
            "country_code": "US",
            "telephone_number": "412-937-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Clairton Blvd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hills",
            "state": "PA",
            "postal_code": "152364518",
            "country_code": "US",
            "telephone_number": "412-655-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Commerce Ave",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178707615",
            "country_code": "US",
            "telephone_number": "570-374-3368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4945 Homeville Rd",
            "address_purpose": "LOCATION",
            "city": "West Mifflin",
            "state": "PA",
            "postal_code": "151222956",
            "country_code": "US",
            "telephone_number": "412-466-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Fisher Rd",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170555122",
            "country_code": "US",
            "telephone_number": "717-795-9392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Roth Church Rd",
            "address_purpose": "LOCATION",
            "city": "Spring Grove",
            "state": "PA",
            "postal_code": "173621406",
            "country_code": "US",
            "telephone_number": "717-225-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Market St Ste C-41",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191022100",
            "country_code": "US",
            "telephone_number": "215-972-0406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 W Jackson Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043048",
            "country_code": "US",
            "telephone_number": "312-800-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDP OF PENNSYLVANIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "GARIBAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING MNGR.",
        "authorized_official_telephone_number": "312-736-8963"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.