Individual provider Active NPI

Dale Robert Chomas, DMD

  • General Practice Dentistry
  • Watsontown, PA
National Provider Identifier
1285718593
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026683L Issued in PA
Practice address
151 Main St
Watsontown, PA 17777-1706
Phone
(570) 538-5533
Fax
(570) 538-3182
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

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 DS026683L PA Primary

Addresses

Primary practice location

151 Main St
Watsontown, PA 17777-1706

Mailing address

151 Main St
Watsontown, PA 17777
Phone (570) 538-5533

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
I20160503000673 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911206560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Watsontown Dental, P.C. Past Accepting new patients
Watsontown Dental General Practice PastSince Dec 31, 2023 Accepting new patients

Organizations & group practices 2

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285718593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "17777",
            "telephone_number": "570-538-5533",
            "fax_number": "570-538-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MAIN ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771706",
            "telephone_number": "570-538-5533",
            "fax_number": "570-538-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOMAS",
        "first_name": "DALE",
        "middle_name": "ROBERT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026683L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsontown, PA

Sources for this page

Verify at the official NPI Registry.