NPIMap

Organization Active NPI

Micucci Family Dentistry PC

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1598986416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028123 Issued in PA
Legal business name
MICUCCI FAMILY DENTISTRY PC
Practice address
704 Lincoln Avenue
Pittsburgh, PA 15202
Phone
(412) 761-0202
Fax
(412) 761-0732
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph James Micucci, DMDNPI 1497097109
Title
President
Phone
(412) 761-0202

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS026302L PA
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS028123 PA Primary

Addresses

Primary practice location

704 Lincoln Avenue
Pittsburgh, PA 15202

Mailing address

704 Lincoln Avenue
Pittsburgh, PA 15202
Phone (412) 761-0202

Other identifiers 1

IdentifierTypeStateIssuer
594774OtherPAUNITED CONCORDIA DELTA DE

National Provider Directory

National Provider Directory

Locations

704 Lincoln Ave
Pittsburgh, PA 15202
Phone (412) 761-0202

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598986416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 LINCOLN AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15202",
            "telephone_number": "412-761-0202",
            "fax_number": "412-761-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 LINCOLN AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15202",
            "telephone_number": "412-761-0202",
            "fax_number": "412-761-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICUCCI FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICUCCI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-761-0202",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026302L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA DELTA DE",
            "identifier": "594774",
            "state": "PA"
        }
    ],
    "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 Aug 22, 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.