Organization Active NPI

Dentistry for Kids

  • Pediatric Dentistry
  • Monroeville, PA
National Provider Identifier
1811042625
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DENTISTRY FOR KIDS
Practice address
2790 Mosside Blvd
Suite 140
Monroeville, PA 15146-2743
Phone
(412) 856-6660
Fax
(412) 856-1463
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
Matthew J Price, DDS
Title
Vice President
Phone
(412) 856-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2790 Mosside Blvd
Suite 140
Monroeville, PA 15146-2743

Mailing address

2790 Mosside Blvd
Suite 140
Monroeville, PA 15146-2743
Phone (412) 856-6660

Other identifiers 1

IdentifierTypeStateIssuer
168120OtherPAUNITED CONCORDIA NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Dentistry for Kids Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1811042625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD",
            "address_2": "SUITE 140",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462743",
            "telephone_number": "412-856-6660",
            "fax_number": "412-856-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 MOSSIDE BLVD",
            "address_2": "SUITE 140",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462743",
            "telephone_number": "412-856-6660",
            "fax_number": "412-856-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-856-6660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NUMBER",
            "identifier": "168120",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.