Individual provider Active NPI

Camille C Siqueira Nogueira, DDS, DSC

  • Periodontics
  • Pittsburgh, PA
National Provider Identifier
1851551840
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
RFD000054 Issued in PA
Practice address
3501 Terrace St # B114
Pittsburgh, PA 15213-2523
Phone
(412) 648-8057
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9856 MA
Periodontics 1223P0300X RFD000054 PA Primary

Addresses

Primary practice location

3501 Terrace St # B114
Pittsburgh, PA 15213-2523

Mailing address

3501 Terrace St # B114
Pittsburgh, PA 15213-2523
Phone (412) 648-8057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RFD000054PAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dental Health Services, Inc. Periodontics CurrentSince May 9, 2023 Accepting new patients

Locations

3501 Ter St
Pittsburgh, PA 15261
Phone (412) 648-6361

3501 Terrace St
Ste 3189
Pittsburgh, PA 15213
Phone (412) 383-7483

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851551840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST # B114",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523",
            "telephone_number": "412-648-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TERRACE ST # B114",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132523",
            "telephone_number": "412-648-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIRA NOGUEIRA",
        "first_name": "CAMILLE",
        "middle_name": "C",
        "credential": "DDS, DSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "9856",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "RFD000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.