Individual provider Active NPI

Thomas Lawrence Chermol Jr., DDS

  • General Practice Dentistry
  • Swarthmore, PA
National Provider Identifier
1457531931
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS024041L Issued in PA
Practice address
801 Yale Ave
Suite 518
Swarthmore, PA 19081
Phone
(610) 328-0520
Fax
(610) 328-3730
NPI assigned
Nov 13, 2007
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 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 DS024041L PA Primary

Addresses

Primary practice location

801 Yale Ave
Suite 518
Swarthmore, PA 19081

Mailing address

500 W Township Line Rd
Havertown, PA 19083
Phone (610) 446-3903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS024041LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1457531931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W TOWNSHIP LINE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-446-3903",
            "fax_number": "610-446-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 YALE AVE",
            "address_2": "SUITE 518",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "19081",
            "telephone_number": "610-328-0520",
            "fax_number": "610-328-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERMOL",
        "first_name": "THOMAS",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024041L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swarthmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.