Individual provider Active NPI

Deborah Studen-Pavlovich, D.M.D.

  • Pediatric Dentistry
  • Pittsburgh, PA
National Provider Identifier
1710959291
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS023500-L Issued in PA
Practice address
3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261-0001
Phone
(412) 648-9100
Fax
(412) 383-9829
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS023500-L PA Primary

Addresses

Primary practice location

3501 Terrace Street
Suite 3189
Pittsburgh, PA 15261-0001

Mailing address

3501 Terrace St
366A Salk Hall
Pittsburgh, PA 15261-1955
Phone (412) 648-8183

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS023500-LPAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1710959291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST",
            "address_2": "366A SALK HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152611955",
            "telephone_number": "412-648-8183",
            "fax_number": "412-648-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE STREET",
            "address_2": "SUITE 3189",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152610001",
            "telephone_number": "412-648-9100",
            "fax_number": "412-383-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEN-PAVLOVICH",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS023500-L",
            "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 Apr 9, 2013; 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.