Active NPI
Katie Ryan Eddens, DMD
- Dentist
- Pittsburgh, PA
National Provider Identifier
1417362641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039967
- Practice address
- 3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261 - Phone
- (412) 648-9100
- Fax
- (412) 383-7862
- NPI assigned
- Jun 26, 2014
- Last updated
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039967 | PA | Primary |
Addresses
Primary practice location
3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261
Mailing address
3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261
Phone (412) 648-9100
Other names 1
- Dr. Katie Jane Ryan Eddens
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dental Health Services, Inc. | Current | Accepting new patients | |
| Austin Geriatric Specialists, PLLC | Past | Accepting new patients |
Locations
3501 Ter St
Pittsburgh, PA 15261
Phone (412) 648-6361
3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 383-7483
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1194788653
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1417362641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 TERRACE STREET",
"address_2": "SUITE 3189",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15261",
"telephone_number": "412-648-9100",
"fax_number": "412-383-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 TERRACE STREET",
"address_2": "SUITE 3189",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15261",
"telephone_number": "412-648-9100",
"fax_number": "412-383-7862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDENS",
"first_name": "KATIE",
"middle_name": "RYAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "RYAN EDDENS",
"middle_name": "JANE",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.