Uniontown Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

UNIONTOWN DENTAL CARE PC

Practice address

661 W Main St
Uniontown, PA 15401-2646

Phone

(724) 439-4444

Fax

(724) 439-4449

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry J Shutsy, DMDNPI 1558349993

Title

Owner

Phone

(724) 439-4444

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry J. Shutsy, D.M.D.

  • General Practice Dentistry
  • Uniontown, PA
  • NPI 1558349993
  NPD (past) Authorized official

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1114150380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012646",
            "telephone_number": "724-439-4444",
            "fax_number": "724-439-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W MAIN ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154012646",
            "telephone_number": "724-439-4444",
            "fax_number": "724-439-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIONTOWN DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "SHUTSY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-439-4444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007529750001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "030220",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unions Home Care LLC
• Uniontown Anesthesia Associates, LTD
• Uniontown Anesthesia LLC
• Uniontown Area School District
• Uniontown Chiropractic Center Inc
• Uniontown Hearing Aid Center
• Uniontown Hospital
• Uniontown Hospital
• Uniontown Hospital
• Uniontown Hospital

• General Practice Dentistry in Uniontown, PA
• Providers in Uniontown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.