Organization Active NPI

Martin L. Supowitz, DMD, MSD, LLC

  • Prosthodontics
  • Pittsburgh, PA
National Provider Identifier
1508471913
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
MARTIN L. SUPOWITZ, DMD, MSD, LLC
Practice address
5433 Walnut St Ste 200
Pittsburgh, PA 15232-3215
Phone
(412) 687-3232
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Dr. Martin L. Supowitz, DMD, MSDNPI 1689710287
Title
President
Phone
(412) 687-3232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU
Prosthodontics 1223P0700X NU Primary

Addresses

Primary practice location

5433 Walnut St Ste 200
Pittsburgh, PA 15232-3215

Mailing address

5433 Walnut St Ste 200
Pittsburgh, PA 15232-3215
Phone (412) 687-3232

National Provider Directory

National Provider Directory

Locations

5433 Walnut St
Ste 200
Pittsburgh, PA 15232
Phone (412) 687-3232

Practitioners & affiliated clinicians

Practitioners 2

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": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1508471913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 WALNUT ST STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152323215",
            "telephone_number": "412-687-3232",
            "fax_number": "412-535-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5433 WALNUT ST STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152323215",
            "telephone_number": "412-687-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN L. SUPOWITZ, DMD, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "SUPOWITZ",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-687-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "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 Sep 11, 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.