NPIMap

Organization Active NPI

Perfect Smile Dental Group PC

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1689033151
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS038278 Issued in PA
Legal business name
PERFECT SMILE DENTAL GROUP PC
Practice address
2020 Ardmore Blvd
Ste 169
Pittsburgh, PA 15221
Phone
(412) 824-8830
Fax
(412) 824-0493
NPI assigned
Feb 12, 2016
Organization subpart
Yes
Parent organization
PERFECT SMILE DENTAL GROUP PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Peng Cheng, DMD
Title
Owner/Dentist
Phone
(814) 942-4699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS038278 PA Primary

Addresses

Primary practice location

2020 Ardmore Blvd
Ste 169
Pittsburgh, PA 15221

Mailing address

125 E Pleasant Valley Blvd
Altoona, PA 16602-5544
Phone (814) 942-4699

National Provider Directory

National Provider Directory
Tax ID family
Perfect Smile Dental Group PC3 organizations share this tax ID, including this one
Part of
Perfect Smile Dental Group PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1689033151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025544",
            "telephone_number": "814-942-4699",
            "fax_number": "814-942-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ARDMORE BLVD",
            "address_2": "STE 169",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15221",
            "telephone_number": "412-824-8830",
            "fax_number": "412-824-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFECT SMILE DENTAL GROUP PC",
        "enumeration_date": "2016-02-12",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "814-942-4699",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038278",
            "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 Aug 31, 2018; 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.