Specialty Periodontal Care of Washington PA LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS027670L Issued in PA

Legal business name

SPECIALTY PERIODONTAL CARE OF WASHINGTON PA LLC

Practice address

2790 West Chestnut Street
Washington, PA 15301

Phone

(724) 228-5800

Fax

(724) 223-5405

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Robert J Lacastro, DMD

Title

Owner

Phone

(724) 228-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689769788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 WEST CHESTNUT STREET",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-228-5800",
            "fax_number": "724-223-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 WEST CHESTNUT STREET",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "15301",
            "telephone_number": "724-228-5800",
            "fax_number": "724-223-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PERIODONTAL CARE OF WASHINGTON PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACASTRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-228-5800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS027670L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Gastroenterology Associates, Inc
• Southwestern Nephrology Inc
• Southwestern Pennsylvania Neurology Associates LTD
• Ashley Taylor Spahn
• Sherman Spatz, DMD
• Monica Speicher, MD
• Christina N. Spiegel, PA-C
• Rachel Spinnenweber
• Vasilios N Spyropoulos, DPM
• Malini Sridharan, M.D.

• Periodontics in Washington, PA
• Providers in Washington, PA by specialty
• Periodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.