Organization Active NPI

Livewell Dentistry of Oakland

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1417420175
Registry record updated Jan 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIVEWELL DENTISTRY OF OAKLAND
Practice address
410 S Craig St Ste 102
Pittsburgh, PA 15213-3709
Phone
(412) 621-1356
NPI assigned
Jan 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2019

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

Authorized official

Name
Leslie Pasco, DDS
Title
Ownder
Phone
(412) 621-1356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

410 S Craig St Ste 102
Pittsburgh, PA 15213-3709

Mailing address

410 S Craig St Ste 102
Pittsburgh, PA 15213-3709
Phone (412) 621-1356

National Provider Directory

National Provider Directory

Locations

410 S Craig St
Ste 102
Pittsburgh, PA 15213
Phone (412) 621-1356

Practitioners & affiliated clinicians

Practitioners 1

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": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546646400000",
    "number": "1417420175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S CRAIG ST STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133709",
            "telephone_number": "412-621-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S CRAIG ST STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133709",
            "telephone_number": "412-621-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL DENTISTRY OF OAKLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2019-01-05",
        "status": "A",
        "authorized_official_last_name": "PASCO",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "412-621-1356",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jan 5, 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.