Individual provider Active NPI

Diane D. Cully, D.M.D.

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1639360787
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024996L Issued in PA
Practice address
1031 Perry Hwy
Pittsburgh, PA 15237-2123
Phone
(412) 366-8084
Fax
(412) 366-8184
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS024996L PA Primary

Addresses

Primary practice location

1031 Perry Hwy
Pittsburgh, PA 15237-2123

Mailing address

1031 Perry Hwy
Pittsburgh, PA 15237-2123
Phone (412) 366-8084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160129000116 PA Order and Referring Only - DentistPractitioner - Dentist 4486957198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS024996LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1639360787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372123",
            "telephone_number": "412-366-8084",
            "fax_number": "412-366-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 PERRY HWY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152372123",
            "telephone_number": "412-366-8084",
            "fax_number": "412-366-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLY",
        "first_name": "DIANE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024996L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.