Individual provider Active NPI

Cybelle Luisa De Souza Pereira, DMD

  • General Practice Dentistry
  • Butler, PA
National Provider Identifier
1700564754
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS044213 Issued in PA
Practice address
264 New Castle Rd
Butler, PA 16001-2529
Phone
(724) 285-4153
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS044213 PA Primary

Addresses

Primary practice location

264 New Castle Rd
Butler, PA 16001-2529

Mailing address

3611 Cardinal Dr
Sharpsville, PA 16150-9242
Phone (929) 355-8974

Other practice location 1

126 College Ave
Greenville, PA 16125-2166
Phone (724) 588-3012

Other names 1

  • Dr. Cybelle Pereira Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS044213PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Keelan Dental General Practice CurrentSince Jul 16, 2023 Accepting new patients

Locations

264 New Castle Rd
Butler, PA 16001
Phone (724) 283-4153

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1700564754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 CARDINAL DR",
            "city": "SHARPSVILLE",
            "state": "PA",
            "postal_code": "161509242",
            "telephone_number": "929-355-8974",
            "fax_number": "929-355-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012529",
            "telephone_number": "724-285-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 College Ave",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "PA",
            "postal_code": "161252166",
            "country_code": "US",
            "telephone_number": "724-588-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOUZA PEREIRA",
        "first_name": "CYBELLE LUISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYBELLE",
            "last_name": "PEREIRA",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.