NPIMap

Organization Active NPI

Upmc Children'S Hospital of Pittsburgh Dental Program

  • Dental Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1790814366
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS016769L Issued in PA
Legal business name
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL PROGRAM
Practice address
3705 5TH Ave
Ground Floor
Pittsburgh, PA 15213
Phone
(412) 692-5440
Fax
(412) 692-5335
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Thomas E Scott
Title
Manager
Phone
(412) 692-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS016769L PA Primary

Addresses

Primary practice location

3705 5TH Ave
Ground Floor
Pittsburgh, PA 15213

Mailing address

PO Box 382007
Pittsburgh, PA 15251-8007
Phone (412) 692-5440

Other practice location 1

3705 5th Ave
Ground Floor
Pittsburgh, PA 15213-2584
Phone (412) 692-5440

Other identifiers 2

IdentifierTypeStateIssuer
000149658OtherPAUCCI
1007347990015MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hospital Opti19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1790814366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382007",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152518007",
            "telephone_number": "412-692-5440",
            "fax_number": "412-692-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 5TH AVE",
            "address_2": "GROUND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-692-5440",
            "fax_number": "412-692-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3705 5th Ave",
            "address_2": "GROUND FLOOR",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132584",
            "country_code": "US",
            "telephone_number": "412-692-5440",
            "fax_number": "412-692-5335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-692-6805"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS016769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "000149658",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007347990015",
            "state": "PA"
        }
    ],
    "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 31, 2018; 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.