Active NPI
Ada Goldsmith, DMD
- Periodontics
- Canonsburg, PA
National Provider Identifier
1992787642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS028576L
- Practice address
- 330 Morganza Rd
Canonsburg, PA 15317-8547 - Phone
- (724) 916-0111
- Fax
- (724) 916-0114
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS028576L | PA | Primary |
Addresses
Primary practice location
330 Morganza Rd
Canonsburg, PA 15317-8547
Mailing address
330 Morganza Rd
Canonsburg, PA 15317-8547
Phone (724) 916-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS028576L | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentica Associates, LLC | Past | Accepting new patients | |
| Dentica, Inc. | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Canonsburg, PA
- NPI 1750566246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1992787642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 MORGANZA RD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153178547",
"telephone_number": "724-916-0111",
"fax_number": "724-916-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MORGANZA RD",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153178547",
"telephone_number": "724-916-0111",
"fax_number": "724-916-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSMITH",
"first_name": "ADA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS028576L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.