PDA ORTHO SPECIALTY (NPI# 1588950661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588950661 |
| Entity Type | Organization |
| Organization Name | PDA ORTHO SPECIALTY |
| Practice Address |
11 S Mill St Suite 200 New Castle PA 16101-3613 |
| Practice Telephone | 3305333400 |
| Practice Fax Number | 3305332700 |
| Mailing Telephone | 3305333400 |
| Mailing Fax Number | 3305332700 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | DR. ANDREW MATTA (CEO) |
| Authorized Official Telephone | 3305333400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114455441 | Pda Ortho Specialty | Dentist | 13022 Pearl Rd Ste 23, Strongsville, OH 44136-3442 | 2017-05-31 |
| Street Address |
11 S MILL ST SUITE 200 |
| City | NEW CASTLE |
| State | PA |
| Zip Code | 16101-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740584226 | Professional Dental Alliance, LLC | Dentist | 11 S Mill St, Suite 200, New Castle, PA 16101-3613 | 2010-12-27 |
| 1689034365 | Professional Dental Alliance, LLC | Dentist | 11 S Mill St, 200, New Castle, PA 16101-3613 | 2016-02-24 |
| 1013372903 | Professional Dental Alliance of Indiana, LLC | Dentist | 11 S Mill St, Suite 200, New Castle, PA 16101-3613 | 2015-12-21 |
| 1861788945 | Pda Specialty | Dentist | 11 S Mill St, Suite 200, New Castle, PA 16101-3613 | 2011-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699269696 | Julie Hudak | Nurse Practitioner | 2550 Ellwood Rd, New Castle, PA 16101 | 2018-06-21 |
| 1982122339 | Kayla Rose Spielvogel | Occupational Therapist | 523 N Cascade St, New Castle, PA 16101 | 2017-09-06 |
| 1932557188 | Kara Elliott | Counselor | 253 E Washington St Ste 200, New Castle, PA 16101 | 2016-05-28 |
| 1467832931 | Adam Stubert | Family Medicine | 1750 New Butler Rd Ste B, New Castle, PA 16101 | 2015-05-31 |
| 1417351412 | Coordination Care Inc. | Case Management | 125 East North St, New Castle, PA 16101 | 2014-10-20 |
| 1619386224 | Determined Will Physical Therapy LLC | Clinic/Center | 1830 Eastbrook Rd, New Castle, PA 16101 | 2014-08-07 |
| 1356757025 | Miranda Jane Appel | Dietitian, Registered | 200 South Jefferson St., New Castle, PA 16101 | 2014-07-02 |
| 1396094728 | Marcia Lynn King | Pharmacist | 31 North Jefferson St, New Castle, PA 16101 | 2012-08-30 |
| 1639454333 | Daniel Edward Rice Jr. | Registered Nurse | 508 Marlboro St, New Castle, PA 16101 | 2011-10-13 |
| 1508016957 | Discovery House-nc, LLC | Clinic/Center | 2710 W. State Street, Route 224, New Castle, PA 16101 | 2008-09-23 |
| Find all providers in zip 16101 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174720049 | Richard M Ribarevski | Dentist | 101 W Fairmont Ave, New Castle, PA 16105-2853 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668076 | Kellyn W. Hodges, Dmd, Ms, PC | Dentist | 411 Doylestown Rd Unit D, Montgomeryville, PA 18936-9636 | 2020-10-26 |
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW CASTLE |
| Zip Code | 16101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.