Individual provider Active NPI

Amy Balkovec, RDH, PHDHP

  • Dental Hygienist
  • Pittsburgh, PA
National Provider Identifier
1619521499
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH08202 Issued in PA
Practice address
1108 Windmill LN
Pittsburgh, PA 15237-6202
Phone
(412) 364-2213
Fax
(412) 366-6778
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH08202 PA Primary

Addresses

Primary practice location

1108 Windmill LN
Pittsburgh, PA 15237-6202

Mailing address

301 Dana CT
Gibsonia, PA 15044-5322
Phone (412) 418-4104

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

LicenseStateTypeSpecialty
DH08202PAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1619521499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DANA CT",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150445322",
            "telephone_number": "412-418-4104",
            "fax_number": "412-366-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 WINDMILL LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152376202",
            "telephone_number": "412-364-2213",
            "fax_number": "412-366-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKOVEC",
        "first_name": "AMY",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH08202",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 30, 2019; 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.