Organization Active NPI

Mark R Grenadier DDS, P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pittsburgh, PA
National Provider Identifier
1811268782
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
DS025828-L Issued in PA
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

Updated by the provider on Oct 26, 2012

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)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.