Organization Active NPI

Martin M Dudas DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monessen, PA
National Provider Identifier
1770617573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS015875L Issued in PA
Legal business name
MARTIN M DUDAS DDS PC
Practice address
2 Shaw Dr
Monessen, PA 15062-2318
Phone
(412) 298-8304
NPI assigned
Mar 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martin M Dudas, DDS
Title
President Owner
Phone
(814) 535-8321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS015875L PA Primary

Addresses

Primary practice location

2 Shaw Dr
Monessen, PA 15062-2318

Mailing address

538 Vine St
Johnstown, PA 15901-2013
Phone (814) 535-8321

National Provider Directory

National Provider Directory

Locations

538 Vine St
Johnstown, PA 15901
Phone (814) 535-8321

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770617573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 VINE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012013",
            "telephone_number": "814-535-8321",
            "fax_number": "724-684-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHAW DR",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150622318",
            "telephone_number": "412-298-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN M DUDAS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDAS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "814-535-8321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS015875L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monessen, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.