Active NPI
Martin Chocholik, DMD
- General Practice Dentistry
- Houghton, NY
National Provider Identifier
1457873473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 060146-1
- Practice address
- 9864 Luckey Dr
Houghton, NY 14744-8706 - Phone
- (716) 375-7500
- NPI assigned
- Jul 11, 2017
- Last updated
- Nov 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1001927-15 | WI | |
| General Practice Dentistry | 1223G0001X | 060146-1 | NY | Primary |
Addresses
Primary practice location
9864 Luckey Dr
Houghton, NY 14744-8706
Mailing address
9864 Luckey Dr
Houghton, NY 14744-8706
Phone (716) 375-7500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060146-1 | NY | MD | General Practice Dentistry |
| 1001927-15 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1457873473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9864 LUCKEY DR",
"city": "HOUGHTON",
"state": "NY",
"postal_code": "147448706",
"telephone_number": "716-375-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9864 LUCKEY DR",
"city": "HOUGHTON",
"state": "NY",
"postal_code": "147448706",
"telephone_number": "716-375-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOCHOLIK",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-11",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "1001927-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060146-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houghton, NY
- Absolut Center for Nursing and Rehabilitation at Houghton, LLC
- Patricia Black, RN
- David Brubaker, MD
- Calvin L Schierer DO PC (Northern Allegany Medical Group)
- Daniel Chapman, MS, ATC, LAT
- College Park Healthcare Center (The Waters of Houghton)
- David Shoff Daugherty, DDS
- Ian Foss, RDH
- Deanna Rae Hand, M.S., A.T.C.
- Marzella J Harrison, RPA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.