Perfect Smile Dental of Beaver, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PERFECT SMILE DENTAL OF BEAVER, LLC

Practice address

115 Wagner Rd
Monaca, PA 15061-2457

Phone

(724) 774-2500

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Romano

Title

Practice Manager

Phone

(814) 942-4699

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Peng Cheng

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1487971735
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1932771797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WAGNER RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612457",
            "telephone_number": "724-774-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WAGNER RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612457",
            "telephone_number": "724-774-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 Midland Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "PA",
            "postal_code": "150591312",
            "country_code": "US",
            "telephone_number": "724-643-5924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFECT SMILE DENTAL OF BEAVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "814-942-4699"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "b.romano@perfectsmilePA.com",
            "affiliation": "Y",
            "endpointDescription": "Manager's email address",
            "affiliationName": "Perfect Smiles Dental of Butler, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Wagner Rd",
            "city": "Monaca",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150612457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dentist in Monaca, PA
• Providers in Monaca, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.