NPIMap

Organization Active NPI

Walby Dental PLLC

Doing business as University Dental Associates

  • General Practice Dentistry
  • Rochester, MI
National Provider Identifier
1366172249
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WALBY DENTAL PLLC
Doing business as
University Dental Associates
Practice address
435 Pine St
Rochester, MI 48307-1933
Phone
(248) 652-9116
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WALBY DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Kelly Chomontowski
Title
Office Manager
Phone
(248) 652-9116

Specialties & licenses 1

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

Addresses

Primary practice location

435 Pine St
Rochester, MI 48307-1933

Mailing address

435 Pine St
Rochester, MI 48307-1933
Phone (248) 652-9116

Other names 1

  • University Dental Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Walby Dental PLLC

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1366172249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 PINE ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071933",
            "telephone_number": "248-652-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PINE ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071933",
            "telephone_number": "248-652-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALBY DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALBY DENTAL PLLC",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "CHOMONTOWSKI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-652-9116"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.