Active NPI
Shannon W Passineau, DMD
- Dentist
- Pittsburgh, PA
National Provider Identifier
1891938932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DSO37805
- Practice address
- 51 N. Balph Ave.
Pittsburgh, PA 15202 - Phone
- (412) 761-1919
- Fax
- (412) 761-4383
- NPI assigned
- Apr 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DSO37805 | PA | Primary |
Addresses
Primary practice location
51 N. Balph Ave.
Pittsburgh, PA 15202
Mailing address
51 N. Balph Ave.
Pittsburgh, PA 15202
Phone (724) 584-5954
Other practice location 1
1691 Route 228
Suite B
Cranberry Township, PA 16066-5323
Phone (724) 584-5954
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
| License | State | Type | Specialty |
|---|---|---|---|
| DSO37805 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Passineau Cosmetic & Family Dentistry PLLC | Current | Accepting new patients | |
| Jonathan Kohler DDS, P.C. | Past | Accepting new patients | |
| Western Pennsylvania Dental Group | Past | Accepting new patients | |
| Western Pennsylvania Dental Group | Past | Accepting new patients |
Locations
51 N Balph Ave
Pittsburgh, PA 15202
Phone (412) 761-1919
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1205308541
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1447393228
-
- General Practice Dentistry
- Cranberry Township, PA
- NPI 1417334335
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1740384478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1891938932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 N. BALPH AVE.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15202",
"telephone_number": "724-584-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N. BALPH AVE.",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15202",
"telephone_number": "412-761-1919",
"fax_number": "412-761-4383"
}
],
"practiceLocations": [
{
"address_1": "1691 Route 228",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Cranberry Township",
"state": "PA",
"postal_code": "160665323",
"country_code": "US",
"telephone_number": "724-584-5954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSINEAU",
"first_name": "SHANNON",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DSO37805",
"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 Jan 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.