Casey Jan Lally, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS043242 Issued in PA

Practice address

530 Chauvet Dr
Pittsburgh, PA 15275-1050

Phone

(412) 876-8003

Fax

(412) 859-3040

NPI assigned

Aug 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689301517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CHAUVET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751050",
            "telephone_number": "412-876-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CHAUVET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751050",
            "telephone_number": "412-876-8003",
            "fax_number": "412-859-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLY",
        "first_name": "CASEY",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS043242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "casey.lally@childrenscolorado.org",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "address_1": "860 Potomac Cir",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800116714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@terrificteethpd.com",
            "affiliation": "Y",
            "endpointDescription": "e-mail",
            "affiliationName": "Terrific Teeth Pediatric Dentistry LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "530 Chauvet Dr",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152751050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Judith A Lalama, OTR L
• Samantha Lalama, MS, LPC, NCC
• Laliguras Home Care LLC
• Ashima Lall, M.D.
• Raj K Lall, MD
• Francis L Lally, MD
• Margaret Sue Lally, MD
• Michael Edward Lally, M.D.
• Renee Marie Lalonde, M.S.W.
• Anita Dolores Lalumere, PHD

• Pediatric Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.