Organization Active NPI

Chomiak Dental Associates

  • General Practice Dentistry
  • Connellsville, PA
National Provider Identifier
1124140694
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHOMIAK DENTAL ASSOCIATES
Practice address
215 Noth Pittsburgh Street
Suite B
Connellsville, PA 15425
Phone
(724) 628-8110
Fax
(724) 628-8802
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Conni L Coppetti
Title
Office Manager
Phone
(724) 628-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

215 Noth Pittsburgh Street
Suite B
Connellsville, PA 15425

Mailing address

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

National Provider Directory

National Provider Directory

Locations

215 N Pittsburgh St
Ste B
Connellsville, PA 15425
Phone (724) 626-1833

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1124140694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N PITTSBURGH ST STE 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 NOTH PITTSBURGH STREET",
            "address_2": "SUITE B",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "15425",
            "telephone_number": "724-628-8110",
            "fax_number": "724-628-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOMIAK DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "COPPETTI",
        "authorized_official_first_name": "CONNI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-628-8110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.