Active NPI
Nicholas M Fazzini, DDS
- General Practice Dentistry
- Pittsburgh, PA
National Provider Identifier
1790708592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS019914L
- Practice address
- 355 5TH Ave
Suite 820
Pittsburgh, PA 15222-2409 - Phone
- (412) 391-4300
- Fax
- (412) 434-5904
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS019914L | PA | Primary |
Addresses
Primary practice location
355 5TH Ave
Suite 820
Pittsburgh, PA 15222-2409
Mailing address
355 5TH Ave
Suite 820
Pittsburgh, PA 15222-2409
Phone (412) 391-4300
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS019914L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790708592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 5TH AVE",
"address_2": "SUITE 820",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152222409",
"telephone_number": "412-391-4300",
"fax_number": "412-434-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 5TH AVE",
"address_2": "SUITE 820",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152222409",
"telephone_number": "412-391-4300",
"fax_number": "412-434-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZZINI",
"first_name": "NICHOLAS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS019914L",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.