Organization Active NPI

Premier Family Dentistry of PA LLC

  • Pediatric Dentistry
  • Pittsburgh, PA
National Provider Identifier
1891187753
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS038177 Issued in PA
Legal business name
PREMIER FAMILY DENTISTRY OF PA LLC
Practice address
5208 Clairton Blvd
Suite 2
Pittsburgh, PA 15236-2711
Phone
(412) 882-1700
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Paul Broring, DDS
Title
Owner
Phone
(412) 882-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS038177 PA Primary

Addresses

Primary practice location

5208 Clairton Blvd
Suite 2
Pittsburgh, PA 15236-2711

Mailing address

5208 Clairton Blvd
Suite 2
Pittsburgh, PA 15236-2711
Phone (412) 882-1700

National Provider Directory

National Provider Directory

Locations

5208 Clairton Blvd
#2
Pittsburgh, PA 15236
Phone (412) 882-1700

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1891187753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 CLAIRTON BLVD",
            "address_2": "SUITE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362711",
            "telephone_number": "412-882-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 CLAIRTON BLVD",
            "address_2": "SUITE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362711",
            "telephone_number": "412-882-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY DENTISTRY OF PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "BRORING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-882-1700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS038177",
            "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 Mar 2, 2015; 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.