Individual provider Active NPI

Breno Monteiro Tavares, DMD

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1487589719
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS045883 Issued in PA
Practice address
7219 McKnight Rd Ste D
Pittsburgh, PA 15237-3524
Phone
(412) 595-1212
NPI assigned
Jun 17, 2026
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS045883 PA Primary

Addresses

Primary practice location

7219 McKnight Rd Ste D
Pittsburgh, PA 15237-3524

Mailing address

617 Broadmore LN
Wexford, PA 15090-1505
Phone (412) 595-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1487589719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 BROADMORE LN",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150901505",
            "telephone_number": "412-595-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 MCKNIGHT RD STE D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373524",
            "telephone_number": "412-595-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEIRO TAVARES",
        "first_name": "BRENO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS045883",
            "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 Jun 17, 2026; 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.