Organization Active NPI

North Pittsburgh Oral Surgery Assoc LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
National Provider Identifier
1659556728
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS017609L Issued in PA
Legal business name
NORTH PITTSBURGH ORAL SURGERY ASSOC LTD
Practice address
9380 McKnight Road
Suite 203
Pittsburgh, PA 15237
Phone
(412) 367-3222
Fax
(412) 367-3373
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. R Kent Galey, DMD
Title
President
Phone
(412) 367-3222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DS017609L PA Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DS023396L PA
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DS036312 PA

Addresses

Primary practice location

9380 McKnight Road
Suite 203
Pittsburgh, PA 15237

Mailing address

9380 McKnight Road
Suite 203
Pittsburgh, PA 15237
Phone (412) 367-3222

Other identifiers 2

IdentifierTypeStateIssuer
073819MedicaidPA
1659556728MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000552 PA Part B Supplier - Clinic/Group Practice 1355389537 Receives reassigned benefits from 8 practitioners
Practice locations: Cranberry Township, PA; Natrona Heights, PA; New Castle, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

301 Smith Dr
Ste 2
Cranberry Township, PA 16066
Phone (724) 776-4556

259 Country Club Dr
Ellwood City, PA 16117
Phone (724) 752-9381

1357 Saxonburg Rd
Natrona Hts, PA 15065
Phone (724) 224-3083

2623 Wilmington Rd
#A
New Castle, PA 16105
Phone (724) 657-0884

3127 Wilmington Rd
#101
New Castle, PA 16105
Phone (724) 856-3130

9380 McKnight Rd
Ste 203
Pittsburgh, PA 15237
Phone (412) 367-3222

9380 McKnight Rd
Pittsburgh, PA 15237
Phone (412) 367-3222

Practitioners & affiliated clinicians

Practitioners 10

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": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1659556728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 MCKNIGHT ROAD",
            "address_2": "SUITE 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-367-3222",
            "fax_number": "412-367-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 MCKNIGHT ROAD",
            "address_2": "SUITE 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-367-3222",
            "fax_number": "412-367-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PITTSBURGH ORAL SURGERY ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "GALEY",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-367-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS017609L",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS023396L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS036312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073819",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659556728",
            "state": "PA"
        }
    ],
    "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 Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.