Individual provider Active NPI

Elizabeth C Pawlowicz, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1811173008
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028752L Issued in PA
Practice address
3459 5TH Ave Ste 202
Pittsburgh, PA 15213-3236
Phone
(412) 648-6328
Fax
(412) 648-6505
NPI assigned
Jan 17, 2008
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028752L PA Primary

Addresses

Primary practice location

3459 5TH Ave Ste 202
Pittsburgh, PA 15213-3236

Mailing address

732 Winter Park Dr
Mars, PA 16046-3950
Phone (412) 629-3031

Other names 1

  • Dr. Elizabeth A Clark Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pawlowiczec2@upmc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190402000377 PA Practitioner - Dentist 2769788710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Health Services, Inc. General Practice CurrentSince Jan 22, 2019 Accepting new patients

Locations

3459 5th Ave
Ste 202
Pittsburgh, PA 15213
Phone (412) 648-6080

3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 648-9100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1811173008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WINTER PARK DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463950",
            "telephone_number": "412-629-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3459 5TH AVE STE 202",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133236",
            "telephone_number": "412-648-6328",
            "fax_number": "412-648-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWICZ",
        "first_name": "ELIZABETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028752L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pawlowiczec2@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "hospital email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3459 5th Ave Ste 202",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152133236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLARK",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.