Organization Active NPI

Reid Elattrache DMD PC

  • Endodontics
  • Washington, PA
National Provider Identifier
1730921339
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
REID ELATTRACHE DMD PC
Practice address
250 Oak Spring Rd
Washington, PA 15301-2844
Phone
(724) 228-6624
Fax
(724) 228-8336
NPI assigned
Jun 12, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Reid Selim Elattrache, DMDNPI 1255485942
Title
Owner
Phone
(724) 228-6244

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X Primary

Addresses

Primary practice location

250 Oak Spring Rd
Washington, PA 15301-2844

Mailing address

250 Oak Spring Rd
Washington, PA 15301-2844
Phone (724) 228-6624

National Provider Directory

National Provider Directory

Locations

250 Oak Spring Rd
Washington, PA 15301
Phone (724) 228-6624

Practitioners & affiliated clinicians

Practitioners 1

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": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1730921339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 OAK SPRING RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012844",
            "telephone_number": "724-228-6624",
            "fax_number": "724-228-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 OAK SPRING RD",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153012844",
            "telephone_number": "724-228-6624",
            "fax_number": "724-228-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REID ELATTRACHE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "ELATTRACHE",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "SELIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-228-6244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.