NPIMap

Organization Active NPI

Dentica, Inc.

  • Pediatric Dentistry
  • Canonsburg, PA
National Provider Identifier
1730364241
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS026642L Issued in PA
Legal business name
DENTICA, INC.
Practice address
330 Morganza Rd
Canonsburg, PA 15317-8547
Phone
(724) 916-0111
Fax
(724) 916-0114
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Dr. James L. Goldsmith, D.D.S.NPI 1780666412
Title
Dentist
Phone
(724) 916-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS026642L PA Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X DS028576L PA

Addresses

Primary practice location

330 Morganza Rd
Canonsburg, PA 15317-8547

Mailing address

330 Morganza Rd
Canonsburg, PA 15317-8547
Phone (724) 916-0111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1730364241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MORGANZA RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178547",
            "telephone_number": "724-916-0111",
            "fax_number": "724-916-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MORGANZA RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153178547",
            "telephone_number": "724-916-0111",
            "fax_number": "724-916-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-916-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS026642L",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS028576L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.