NPIMap

Organization Active NPI

Pittsburgh Dental Sleep Medicine, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wexford, PA
National Provider Identifier
1700936085
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DS020317L Issued in PA
Legal business name
PITTSBURGH DENTAL SLEEP MEDICINE, INC.
Practice address
11676 Perry Hwy
Suite 3201
Wexford, PA 15090
Phone
(724) 935-6670
Fax
(724) 935-6758
NPI assigned
Jan 11, 2007
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Dr. Robert Richard Rogers III, DMDNPI 1194874370
Title
President
Phone
(724) 935-6670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DS020317L PA Primary
Customized Equipment (DME) 332BC3200X DS020317L PA
General Practice Dentistry 1223G0001X DS020317L PA

Addresses

Primary practice location

11676 Perry Hwy
Suite 3201
Wexford, PA 15090

Mailing address

11676 Perry Hwy
Suite 3201
Wexford, PA 15090-7201
Phone (724) 935-6670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070719000637 PA Part B Supplier - Clinic/Group Practice 9032210182 Receives reassigned benefits from 5 practitioners
3 other NPIs on this enrollment
Practice locations: Harrisburg, PA; MC Murray, PA; Monroeville, PA; Wexford, PA
O20100930019518 PA DME Supplier - Oral Surgery - Dentist 9032210182 Practice locations: Wexford, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pitts DNTL SLP Med PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4813 Jonestown Rd
Ste 104
Harrisburg, PA 17109
Phone (717) 995-3590

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1700936085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY",
            "address_2": "SUITE 3201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907201",
            "telephone_number": "724-935-6670",
            "fax_number": "724-935-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY",
            "address_2": "SUITE 3201",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "724-935-6670",
            "fax_number": "724-935-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBURGH DENTAL SLEEP MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-935-6670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "DS020317L",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "DS020317L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020317L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.