NPIMap

Organization Active NPI

Western Pennsylvania Dental Group

Doing business as Legacy Dental Care

  • General Practice Dentistry
  • North Huntingdon, PA
National Provider Identifier
1912047903
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WESTERN PENNSYLVANIA DENTAL GROUP
Doing business as
Legacy Dental Care
Practice address
8489 Country Club Dr Ste 3
North Huntingdon, PA 15642-4160
Phone
(724) 863-4350
Fax
(724) 861-0520
NPI assigned
Feb 7, 2007
Last updated
Jul 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN PENNSYLVANIA DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8489 Country Club Dr Ste 3
North Huntingdon, PA 15642-4160

Mailing address

8755 Norwin Ave Ste 100
North Huntingdon, PA 15642-2744
Phone (724) 863-4350

Other names 1

  • Legacy Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ajs Assoc15 organizations share this tax ID, including this one
Part of
Ajs Assoc

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

8755 Norwin Ave
Ste 100
North Huntingdon, PA 15642

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1912047903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 NORWIN AVE STE 100",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156422744",
            "telephone_number": "724-863-4350",
            "fax_number": "724-861-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8489 COUNTRY CLUB DR STE 3",
            "city": "NORTH HUNTINGDON",
            "state": "PA",
            "postal_code": "156424160",
            "telephone_number": "724-863-4350",
            "fax_number": "724-861-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.