Organization Active NPI

Pittsburgh Periodontal Associates

  • Periodontics
  • Pittsburgh, PA
National Provider Identifier
1497148357
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS038945 Issued in PA
Legal business name
PITTSBURGH PERIODONTAL ASSOCIATES
Practice address
3520 5TH Ave Ste 500
Pittsburgh, PA 15213-3322
Phone
(412) 687-5311
Fax
(412) 687-5122
NPI assigned
Mar 16, 2015
Last updated
Mar 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Dr. Menakshy Koul, DDS,MS
Title
Owner
Phone
(412) 687-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS038945 PA Primary

Addresses

Primary practice location

3520 5TH Ave Ste 500
Pittsburgh, PA 15213-3322

Mailing address

3520 5TH Ave Ste 500
Pittsburgh, PA 15213-3322
Phone (412) 687-5311

National Provider Directory

National Provider Directory

Locations

3520 5th Ave
Ste 500
Pittsburgh, PA 15213
Phone (412) 687-5311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1497148357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 5TH AVE STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133322",
            "telephone_number": "412-687-5311",
            "fax_number": "412-687-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 5TH AVE STE 500",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133322",
            "telephone_number": "412-687-5311",
            "fax_number": "412-687-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH PERIODONTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "MENAKSHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-687-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS038945",
            "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 Mar 16, 2015; 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.