NPIMap

Organization Active NPI

Western Pennsylvania Dental Alliance

  • Pediatric Dentistry
  • Pittsburgh, PA
National Provider Identifier
1619193604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS020682L Issued in PA
Legal business name
WESTERN PENNSYLVANIA DENTAL ALLIANCE
Practice address
1580 McLaughlin Run Rd
Suite 204
Pittsburgh, PA 15241-3100
Phone
(412) 257-1150
NPI assigned
Apr 18, 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
Allison Hawk, M.B.A.
Title
Chief Operations Officer
Phone
(412) 257-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS020682L PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Rd
Suite 204
Pittsburgh, PA 15241-3100

Mailing address

1580 McLaughlin Run Rd
Suite 204
Pittsburgh, PA 15241-3100

Other names 1

  • Pediatric Dentistry South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr James Nemec2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619193604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD",
            "address_2": "SUITE 204",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-257-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA DENTAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "412-257-1150",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS020682L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.