Individual provider Active NPI

Bobbie Lee Scherder Hawranko, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1811933591
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-027431-L Issued in PA
Practice address
580 S Aiken Ave
Suite 620
Pittsburgh, PA 15232-1531
Phone
(412) 622-0221
Fax
(412) 622-0224
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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 DS-027431-L PA Primary

Addresses

Primary practice location

580 S Aiken Ave
Suite 620
Pittsburgh, PA 15232-1531

Mailing address

580 S Aiken Ave
Suite 620
Pittsburgh, PA 15232-1531
Phone (412) 622-0221

Other identifiers 1

IdentifierTypeStateIssuer
902725OtherPAUNITED CONCORDIA COMPANY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS-027431-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1811933591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S AIKEN AVE",
            "address_2": "SUITE 620",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321531",
            "telephone_number": "412-622-0221",
            "fax_number": "412-622-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S AIKEN AVE",
            "address_2": "SUITE 620",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321531",
            "telephone_number": "412-622-0221",
            "fax_number": "412-622-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERDER HAWRANKO",
        "first_name": "BOBBIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-027431-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA COMPANY",
            "identifier": "902725",
            "state": "PA"
        }
    ],
    "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 23, 2014; 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.