NPIMap

Organization Active NPI

Judy L. Disanti, DMD LLC

  • Dentist
  • Coraopolis, PA
National Provider Identifier
1619534807
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JUDY L. DISANTI, DMD LLC
Practice address
1009 Beaver Grade Rd
Suite 300
Coraopolis, PA 15108
Phone
(412) 264-6229
Fax
(412) 264-5035
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Judy L Disanti, DMDNPI 1982855516
Title
Owner/Doctor
Phone
(412) 264-6229

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1009 Beaver Grade Rd
Suite 300
Coraopolis, PA 15108

Mailing address

1009 Beaver Grade Rd
Suite 300
Coraopolis, PA 15108
Phone (412) 264-6229

National Provider Directory

National Provider Directory

Locations

1009 Beaver Grade Rd
Ste 300
Moon Township, PA 15108
Phone (412) 264-6229

Practitioners & affiliated clinicians

Practitioners 4

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": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1619534807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BEAVER GRADE RD",
            "address_2": "SUITE 300",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-264-6229",
            "fax_number": "412-264-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BEAVER GRADE RD",
            "address_2": "SUITE 300",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-264-6229",
            "fax_number": "412-264-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY L. DISANTI, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DISANTI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "412-264-6229",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.