Individual provider Active NPI

Natalie Elizabeth Monaco, DDS

  • Dentist
  • Connellsville, PA
National Provider Identifier
1003147208
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037954 Issued in PA
Practice address
215 N Pittsburgh St
Suite B
Connellsville, PA 15425-3209
Phone
(724) 628-8110
Fax
(724) 628-8802
NPI assigned
Jan 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037954 PA Primary

Addresses

Primary practice location

215 N Pittsburgh St
Suite B
Connellsville, PA 15425-3209

Mailing address

215 N Pittsburgh St
Suite B
Connellsville, PA 15425-3209
Phone (724) 628-8110

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
I20151215001528 PA Order and Referring Only - DentistPractitioner - Dentist 3274834395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037954PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chomiak Dental Associates Past Accepting new patients

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": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1003147208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N PITTSBURGH ST",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253209",
            "telephone_number": "724-628-8110",
            "fax_number": "724-628-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N PITTSBURGH ST",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253209",
            "telephone_number": "724-628-8110",
            "fax_number": "724-628-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "NATALIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.