Active NPI
Emma Gasanova, DMD
- General Practice Dentistry
- Cranberry TWP, PA
National Provider Identifier
1548693476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS039660
- Practice address
- 20455 Route 19
Cranberry TWP, PA 16066-7516 - Phone
- (724) 776-4105
- Fax
- (724) 776-4106
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS039660 | PA | Primary |
Addresses
Primary practice location
20455 Route 19
Cranberry TWP, PA 16066-7516
Mailing address
20455 Route 19
Cranberry TWP, PA 16066-7516
Phone (724) 776-4105
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS039660 | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458518400000",
"number": "1548693476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20455 ROUTE 19",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160667516",
"telephone_number": "724-776-4105",
"fax_number": "724-776-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20455 ROUTE 19",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160667516",
"telephone_number": "724-776-4105",
"fax_number": "724-776-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASANOVA",
"first_name": "EMMA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2016-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS039660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.