Organization Active NPI

Shenango Valley Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hermitage, PA
National Provider Identifier
1447422282
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS026869L Issued in PA
Legal business name
SHENANGO VALLEY ORTHODONTICS, LLC
Practice address
701 N Hermitage Rd
Suite 21
Hermitage, PA 16148-3234
Phone
(724) 981-8421
Fax
(724) 981-0111
NPI assigned
Apr 1, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Deborah Kay Smith
Title
Treasurer
Phone
(724) 981-8421

National Provider Directory

National Provider Directory

Locations

701 N Hermitage Rd
Ste 21
Hermitage, PA 16148
Phone (724) 981-8421

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS026869L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

701 N Hermitage Rd
Suite 21
Hermitage, PA 16148-3234

Mailing address

701 N Hermitage Rd
Suite 21
Hermitage, PA 16148-3234
Phone (724) 981-8421

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2008.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1447422282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N HERMITAGE RD",
            "address_2": "SUITE 21",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483234",
            "telephone_number": "724-981-8421",
            "fax_number": "724-981-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N HERMITAGE RD",
            "address_2": "SUITE 21",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483234",
            "telephone_number": "724-981-8421",
            "fax_number": "724-981-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANGO VALLEY ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "724-981-8421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS026869L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.