Organization Active NPI

Youth Smiles Mobile Dental Center

  • Dental Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1912558578
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YOUTH SMILES MOBILE DENTAL CENTER
Practice address
5918 Penn Ave
Pittsburgh, PA 15206-3846
Phone
(412) 361-5437
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Wendi Cagni
Title
Manager
Phone
(412) 613-5604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5918 Penn Ave
Pittsburgh, PA 15206-3846

Mailing address

5918 Penn Ave
Pittsburgh, PA 15206-3846
Phone (412) 361-5437

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

National Provider Directory

National Provider Directory

Locations

5918 Penn Ave
Pittsburgh, PA 15206
Phone (412) 361-5437

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1912558578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063846",
            "telephone_number": "412-361-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063846",
            "telephone_number": "412-361-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH SMILES MOBILE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "CAGNI",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-613-5604"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "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 Sep 25, 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.

Verify at the official NPI Registry.