Organization Active NPI

Chetlin Pechersky Orthodontics

  • Point of Service
  • Pittsburgh, PA
National Provider Identifier
1477946119
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
DS027521L Issued in PA
Legal business name
CHETLIN PECHERSKY ORTHODONTICS
Practice address
1900 Murray Ave
Suite 305
Pittsburgh, PA 15217-1657
Phone
(412) 421-5112
Fax
(412) 421-5116
NPI assigned
Mar 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Jeffrey D Chetlin, DDSNPI 1639198286
Title
Owner
Phone
(412) 421-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X DS027521L PA Primary

Addresses

Primary practice location

1900 Murray Ave
Suite 305
Pittsburgh, PA 15217-1657

Mailing address

1900 Murray Avenue
Suite 305
Pittsburgh, PA 15217
Phone (412) 421-5112

Other identifiers 2

IdentifierTypeStateIssuer
0014020200004OtherPAMEDICAL ASSIST UPROMISE NUMBER
0014020100005OtherPAMEDICAL ASSIST NUMBER

Other names 1

  • Chetlin Orthodontics Former legal business name

National Provider Directory

National Provider Directory

Locations

1900 Murray Ave
Ste 305
Pittsburgh, PA 15217
Phone (412) 421-5112

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1477946119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVENUE",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15217",
            "telephone_number": "412-421-5112",
            "fax_number": "412-421-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MURRAY AVE",
            "address_2": "SUITE 305",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171657",
            "telephone_number": "412-421-5112",
            "fax_number": "412-421-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETLIN PECHERSKY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "CHETLIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-421-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PA",
            "license": "DS027521L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSIST UPROMISE NUMBER",
            "identifier": "0014020200004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSIST NUMBER",
            "identifier": "0014020100005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chetlin Orthodontics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.