Active NPI
Mark R Grenadier DDS, P.C.
- Oral & Maxillofacial Surgery (D.M.D.)
- Pittsburgh, PA
National Provider Identifier
1811268782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- DS025828-L
- Legal business name
- MARK R GRENADIER DDS, P.C.
- Practice address
- 4955 Steubenville Pike
#361
Pittsburgh, PA 15205 - Phone
- (412) 788-9333
- Fax
- (412) 788-9341
- NPI assigned
- Jan 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Grenadier, OFFICE MANAGER
- Title
- Office Manager
- Phone
- (412) 788-9333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | DS025828-L | PA | Primary |
Addresses
Primary practice location
4955 Steubenville Pike
#361
Pittsburgh, PA 15205
Mailing address
4955 Steubenville Pike
#361
Pittsburgh, PA 15205
Phone (412) 788-9333
National Provider Directory
National Provider DirectoryLocations
4955 Steubenville Pike
Ste 361
Pittsburgh, PA 15205
Phone (412) 788-9333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351209600000",
"number": "1811268782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 STEUBENVILLE PIKE",
"address_2": "#361",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15205",
"telephone_number": "412-788-9333",
"fax_number": "412-788-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 STEUBENVILLE PIKE",
"address_2": "#361",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15205",
"telephone_number": "412-788-9333",
"fax_number": "412-788-9341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK R GRENADIER DDS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2012-10-26",
"status": "A",
"authorized_official_last_name": "GRENADIER",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "412-788-9333",
"authorized_official_credential": "OFFICE MANAGER"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": "PA",
"license": "DS025828-L",
"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 Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.