Active NPI
Anthony Paul Churak, DMD
- General Practice Dentistry
- Belle Vernon, PA
National Provider Identifier
1013083534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS024352L
- Practice address
- 1108 Fayette Avenue
Belle Vernon, PA 15012 - Phone
- (724) 929-3368
- Fax
- (724) 929-3467
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS024352L | PA | Primary |
Addresses
Primary practice location
1108 Fayette Avenue
Belle Vernon, PA 15012
Mailing address
1108 Fayette Avenue
Belle Vernon, PA 15012
Phone (724) 929-3368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412953 | Other | PA | UCCI |
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 |
|---|---|---|---|
| DS024352L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Belasco Ober & Associates PC | General Practice | 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.
-
- General Practice Dentistry
- Belle Vernon, PA
- NPI 1306912811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013083534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 FAYETTE AVENUE",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "15012",
"telephone_number": "724-929-3368",
"fax_number": "724-929-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 FAYETTE AVENUE",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "15012",
"telephone_number": "724-929-3368",
"fax_number": "724-929-3467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURAK",
"first_name": "ANTHONY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS024352L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "412953",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Vernon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.