Organization Active NPI

Facial Surgery Center of Mt Pleasant LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Mt Pleasant, PA
National Provider Identifier
1811586357
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
FACIAL SURGERY CENTER OF MT PLEASANT LLC
Practice address
6545 Route 819
Mt Pleasant, PA 15666-2665
Phone
(724) 640-4367
NPI assigned
Jan 11, 2021
Last updated
Jan 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Ms. Dorothy Knupp
Title
Coo
Phone
(724) 640-4367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X NU Primary

Addresses

Primary practice location

6545 Route 819
Mt Pleasant, PA 15666-2665

Mailing address

1211 S Main St
Greensburg, PA 15601-5319

Other practice location 1

459 Lakewood Rd
Greensburg, PA 15601-9772
Phone (724) 640-4367

National Provider Directory

National Provider Directory

Locations

6545 Route 819
Mt Pleasant, PA 15666
Phone (724) 547-0999

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1811586357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 ROUTE 819",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662665",
            "telephone_number": "724-640-4367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 Lakewood Rd",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156019772",
            "country_code": "US",
            "telephone_number": "724-640-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACIAL SURGERY CENTER OF MT PLEASANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "KNUPP",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "724-640-4367",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.