Active NPI
Anu Shree, DDS
- Dentist
- Irwin, PA
National Provider Identifier
1578698734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS036576
- Practice address
- 532 Main St
Irwin, PA 15642-3405 - Phone
- (724) 864-7874
- Fax
- (724) 864-5235
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS036576 | PA | Primary |
Addresses
Primary practice location
532 Main St
Irwin, PA 15642-3405
Mailing address
532 Main St
Irwin, PA 15642-3405
Phone (724) 864-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180104001789 | PA | Order and Referring Only - Dentist | 6204195811 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS036576 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1578698734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 MAIN ST",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423405",
"telephone_number": "724-864-7874",
"fax_number": "724-864-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 MAIN ST",
"city": "IRWIN",
"state": "PA",
"postal_code": "156423405",
"telephone_number": "724-864-7874",
"fax_number": "724-864-5235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHREE",
"first_name": "ANU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS036576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irwin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.