Organization Active NPI

Choffin Dental Assiting School

  • Dentist
  • Youngstown, OH
National Provider Identifier
1720233000
Registry record updated Nov 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30014994 Issued in OH
Legal business name
CHOFFIN DENTAL ASSITING SCHOOL
Practice address
200 E Wood St
Youngstown, OH 44503-1628
Phone
(330) 744-8749
NPI assigned
Nov 30, 2008
Last updated
Nov 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2008

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

Authorized official

Name
Mrs. Paula Jean Oliver, CDA, CDPMA, CODA
Title
Program Director
Phone
(330) 744-8749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 30014994 OH Primary

Addresses

Primary practice location

200 E Wood St
Youngstown, OH 44503-1628

Mailing address

200 E Wood St
Youngstown, OH 44503-1628
Phone (330) 744-8749

Other identifiers 1

IdentifierTypeStateIssuer
2547873MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Board of Education Youngstown Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 E Wood St
Youngstown, OH 44503
Phone (330) 744-8749

NPI Registry JSON

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

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228003200000",
    "number": "1720233000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WOOD ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031628",
            "telephone_number": "330-744-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WOOD ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445031628",
            "telephone_number": "330-744-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOFFIN DENTAL ASSITING SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-30",
        "last_updated": "2008-11-30",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "330-744-8749",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA, CDPMA, CODA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30014994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2547873",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2008; 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.