Individual provider Active NPI

Kristy G Cupelli, DR

  • Pediatric Dentistry
  • Bethel Park, PA
National Provider Identifier
1528145489
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS023428L Issued in PA
Practice address
411 McMurray Rd
Suite 102
Bethel Park, PA 15102-1164
Phone
(412) 831-3373
Fax
(412) 831-3777
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS023428L PA Primary

Addresses

Primary practice location

411 McMurray Rd
Suite 102
Bethel Park, PA 15102-1164

Mailing address

101 Drake Road
Pittsburgh, PA 15241
Phone (412) 831-3373

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

State licenses

LicenseStateTypeSpecialty
DS023428LPAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1528145489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DRAKE ROAD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-831-3373",
            "fax_number": "412-831-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MCMURRAY RD",
            "address_2": "SUITE 102",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021164",
            "telephone_number": "412-831-3373",
            "fax_number": "412-831-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPELLI",
        "first_name": "KRISTY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS023428L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.