NPIMap

Organization Active NPI

Tera L Depaoli, DMD, LLC

  • General Practice Dentistry
  • Gibsonia, PA
National Provider Identifier
1639747686
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TERA L DEPAOLI, DMD, LLC
Practice address
4984 Middle Rd
Gibsonia, PA 15044-8276
Phone
(724) 443-4444
NPI assigned
Jun 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Tera L Depaoli, DMDNPI 1043368111
Title
Owner
Phone
(724) 443-4444

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4984 Middle Rd
Gibsonia, PA 15044-8276

Mailing address

4984 Middle Rd
Gibsonia, PA 15044-8276
Phone (724) 443-4444

Other practice location 1

21 Brilliant Ave
Aspinwall, PA 15215-3118
Phone (412) 781-2100

Other names 1

  • DePaoli Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4984 Middle Rd
Gibsonia, PA 15044
Phone (724) 443-4444

Practitioners & affiliated clinicians

Practitioners 5

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": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1639747686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 MIDDLE RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448276",
            "telephone_number": "724-443-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 MIDDLE RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150448276",
            "telephone_number": "724-443-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Brilliant Ave",
            "address_purpose": "LOCATION",
            "city": "Aspinwall",
            "state": "PA",
            "postal_code": "152153118",
            "country_code": "US",
            "telephone_number": "412-781-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TERA L DEPAOLI, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "DEPAOLI",
        "authorized_official_first_name": "TERA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-443-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DePaoli Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DePaoli Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gibsonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.