Dr. James T. Katsur and Associates PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. JAMES T. KATSUR AND ASSOCIATES PC

Practice address

1597 Washington Pike
Suite A5
Bridgeville, PA 15017-2881

Phone

(412) 279-4800

Fax

(412) 279-7119

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Terri Gardiner

Title

Credentialing Coordinator

Phone

(407) 788-6533

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• Katsur Dental & Orthodontics Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moutaz Dandashi, DMD

  • Pediatric Dentistry
  • Bridgeville, PA
  • NPI 1588625289
  NPD (past)
• James T Katsur, DMD

  • Dentist
  • Bridgeville, PA
  • NPI 1497990386
  NPD (past)
• Derek Kelly, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bridgeville, PA
  • NPI 1306808597
  NPD (past)
• Leena Khurana, DMD

  • Dentist
  • Bridgeville, PA
  • NPI 1033317607
  NPD (past)
• Adam Louis Martik, D.M.D.

  • Dentist
  • Bridgeville, PA
  • NPI 1013221183
  NPD (past)
• Anjuli Tinnemeyer, DMD

  • General Practice Dentistry
  • Bridgeville, PA
  • NPI 1871555938
  NPD (past)
• Karl Weiss, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bridgeville, PA
  • NPI 1306809876
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1992766752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GREAT POND DR",
            "address_2": "SUITE 2003",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A5",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172881",
            "telephone_number": "412-279-4800",
            "fax_number": "412-279-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES T. KATSUR AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "GARDINER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "407-788-6533"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580012",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580010",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580022",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580018",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580008",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580015",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580021",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009908580011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katsur Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennie Dish
• Megan Katherine Disher, M.S., CCC-SLP
• Sarah Elizabeth Donaldson, PA-C
• Larissa E Dover
• Miranda Downs
• Jack M Dragich
• Beth Ann Duchess, OTR/L
• Nicole H Duffy
• Keyona Dunbar
• Doreen Dwumfor, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.