Organization Active NPI

New Dimension Dentistry & Orthodontics PC

  • Dentist
  • Johnstown, PA
National Provider Identifier
1457778433
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS023871L Issued in PA
Legal business name
NEW DIMENSION DENTISTRY & ORTHODONTICS PC
Practice address
1253 Scalp Ave
Suite 105
Johnstown, PA 15904-3137
Phone
(814) 269-9731
Fax
(814) 266-5881
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Samuel Charles Pollina, DMD
Title
Owner
Phone
(814) 269-9731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS023871L PA Primary

Addresses

Primary practice location

1253 Scalp Ave
Suite 105
Johnstown, PA 15904-3137

Mailing address

1253 Scalp Ave
Suite 105
Johnstown, PA 15904-3137
Phone (814) 269-9731

Other identifiers 1

IdentifierTypeStateIssuer
01551950MedicaidPA

Other names 1

  • Western Pennsylvania Dental Sleep Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1457778433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "SUITE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043137",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "SUITE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043137",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIMENSION DENTISTRY & ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "POLLINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-269-9731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023871L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01551950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Pennsylvania Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 26, 2014; 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.