NPIMap

Organization Active NPI

Upmc Braddock Dental Center

  • General Practice Dentistry
  • Braddock, PA
National Provider Identifier
1457579773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UPMC BRADDOCK DENTAL CENTER
Practice address
450 Holland Ave
Suite 209
Braddock, PA 15104-1536
Phone
(412) 636-5187
Fax
(412) 636-5248
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark S. Sevco
Title
President
Phone
(412) 636-5100

Specialties & licenses 1

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

Addresses

Primary practice location

450 Holland Ave
Suite 209
Braddock, PA 15104-1536

Mailing address

450 Holland Ave.
Suite 209
Braddock, PA 15104-1536
Phone (412) 636-5187

National Provider Directory

National Provider Directory
Tax ID family
Braddock Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457579773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HOLLAND AVE.",
            "address_2": "SUITE 209",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041536",
            "telephone_number": "412-636-5187",
            "fax_number": "412-636-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HOLLAND AVE",
            "address_2": "SUITE 209",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041536",
            "telephone_number": "412-636-5187",
            "fax_number": "412-636-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC BRADDOCK DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEVCO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-636-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Braddock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.