Individual provider Active NPI

Timothy A Ungarean Sr., D.M.D.

  • General Practice Dentistry
  • Aliquippa, PA
National Provider Identifier
1124147756
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-027730-L Issued in PA
Practice address
3153 Brodhead Rd
Suite a
Aliquippa, PA 15001-1370
Phone
(724) 857-1010
Fax
(724) 857-1012
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-027730-L PA Primary

Addresses

Primary practice location

3153 Brodhead Rd
Suite a
Aliquippa, PA 15001-1370

Mailing address

3153 Brodhead Rd
Suite a
Aliquippa, PA 15001-1370
Phone (724) 857-1010

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
I20170407000849 PA Practitioner - DentistPractitioner - Oral Surgery 5496031312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-027730-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smilesavers Dentistry PC General Practice CurrentSince Feb 6, 2017 Accepting new patients

Locations

3153 Brodhead Rd
#A
Aliquippa, PA 15001
Phone (724) 857-1010

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124147756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 BRODHEAD RD",
            "address_2": "SUITE A",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011370",
            "telephone_number": "724-857-1010",
            "fax_number": "724-857-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 BRODHEAD RD",
            "address_2": "SUITE A",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011370",
            "telephone_number": "724-857-1010",
            "fax_number": "724-857-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAREAN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-027730-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.