South Hills Dental Arts - Ingram, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH HILLS DENTAL ARTS - INGRAM, LLC

Practice address

2725 Center St
Pittsburgh, PA 15205-2329

Phone

(412) 922-9292

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Curtis Steven Crandall

Title

Sole Member

Phone

(412) 334-3713

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Moore, DDS

  • Dentist
  • Pittsburgh, PA
  • NPI 1073998399
  NPD (past)
• Nicole E Podrat, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1720186224
  NPD (past)
• William Scott Poling, D.D.S.

  • Dentist
  • Pittsburgh, PA
  • NPI 1225145311
  NPD (past)

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1477869675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 CENTER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152052329",
            "telephone_number": "412-922-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CENTER ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152052329",
            "telephone_number": "412-922-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HILLS DENTAL ARTS - INGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "412-334-3713"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Souply
• Jamie Lynne Sousa, LMHC, LPC, CTRS-BH
• South Allegheny Senior Care, LLC
• South End Primary Health Care, PC
• South Hills Cardiology Associates
• South Hills Dental Arts-Usc, LLC
• South Hills Dental Care Company
• South Hills Dermatology PC
• South Hills Diagnostic & Treatment Center LP
• South Hills ENT Association

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.