NPIMap

Organization Active NPI

Choice Restorative Medicine LLC.

  • Multi-Specialty Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1578076774
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHOICE RESTORATIVE MEDICINE LLC.
Practice address
8199 McKnight Rd Ste 102
Pittsburgh, PA 15237-5749
Phone
(412) 364-9699
Fax
(412) 364-5172
NPI assigned
Nov 9, 2017
Last updated
Oct 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Authorized official

Name
Ashley BodenmillerNPI 1598002784
Title
Owner
Phone
(412) 364-9699

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8199 McKnight Rd Ste 102
Pittsburgh, PA 15237-5749

Mailing address

8199 McKnight Rd Ste 102
Pittsburgh, PA 15237-5749
Phone (412) 364-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180730001337 PA Part B Supplier - Clinic/Group Practice 9739437336 Receives reassigned benefits from 7 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

8199 McKnight Rd
Ste 102
Pittsburgh, PA 15237
Phone (412) 364-5490

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759536000000",
    "number": "1578076774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8199 MCKNIGHT RD STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375749",
            "telephone_number": "412-364-9699",
            "fax_number": "412-364-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 MCKNIGHT RD STE 102",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152375749",
            "telephone_number": "412-364-9699",
            "fax_number": "412-364-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE RESTORATIVE MEDICINE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A",
        "authorized_official_last_name": "BODENMILLER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-364-9699"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.