Individual provider Active NPI

Allison Jean Petrarca, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1942090907
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045128 Issued in PA
Practice address
1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881
Phone
(412) 247-2310
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045128 PA Primary

Addresses

Primary practice location

1789 S Braddock Ave Ste 410
Pittsburgh, PA 15218-1881

Mailing address

5797 Madison Ave
Export, PA 15632-1318
Phone (412) 607-8105

Other names 1

  • Allison Jean Pavlan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918001367 PA Practitioner - Dentist 2769986108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 645527
Pittsburgh, PA 15264-5253

PO Box
Suite 791
Carnegie, PA 15106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS045128PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Practice, Inc. CurrentSince Jun 28, 2025 Accepting new patients

Locations

1789 S Braddock Ave
Ste 410
Pittsburgh, PA 15218
Phone (412) 247-2310

300 Kane Blvd
Pittsburgh, PA 15243
Phone (412) 429-3000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1942090907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 MADISON AVE",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156321318",
            "telephone_number": "412-607-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 410",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181881",
            "telephone_number": "412-247-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRARCA",
        "first_name": "ALLISON",
        "middle_name": "JEAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "PAVLAN",
            "middle_name": "JEAN",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.