New Dimension Dentistry

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DS023871L Issued in PA

Legal business name

NEW DIMENSION DENTISTRY

Practice address

1253 Scalp Ave
Suite 105
Johnstown, PA 15904-3137

Phone

(814) 269-9731

Fax

(814) 266-5881

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Charles Pollina, DMDNPI 1427030287

Title

Owner

Phone

(814) 269-9731

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Western Pennsylvania Dental Sleep Medicine Doing business as

Tax ID family

New Dimension Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Dimensions Dentistry and Orthodontics, P.C.

  • Dentist
  • Johnstown, PA
  • NPI 1255657565
  NPD tax ID

Practitioners 1

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

• Samuel Charles Pollina, DMD

  • Dentist
  • Johnstown, PA
  • NPI 1427030287
  NPD (past) Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1609289289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "SUITE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043137",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 SCALP AVE",
            "address_2": "SUITE 105",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043137",
            "telephone_number": "814-269-9731",
            "fax_number": "814-266-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIMENSION DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "POLLINA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-269-9731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "DS023871L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01551950",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Pennsylvania Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nelson, MS
• Lana Nicole Ness, MSN, CRNP, FNP-C
• Daniel R Nevarre, MD
• David R Nevarre, PA-C
• New Body Weight Loss Center LLC
• New Dimension Dentistry & Orthodontics PC
• New Dimensions Dentistry and Orthodontics, P.C.
• Nicholas J. Masciotra MD PC
• Kelly Lynn Nicodemus
• Shannon Maureen Nicoloff, PSY.D., L.P., RPT

• Customized Equipment (DME) in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.