Maria C Chila, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO24616L Issued in PA

Practice address

100 Church Rd
Suite 302
Ardmore, PA 19003-2316

Phone

(610) 642-0185

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750498382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S JUNIPER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485246",
            "telephone_number": "215-334-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH RD",
            "address_2": "SUITE 302",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032316",
            "telephone_number": "610-642-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILA",
        "first_name": "MARIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO24616L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCD Ardmore Family Dentistry, LLC (The Office of Dr. Bellisario)
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• Dachuan Chen, PHARM. D.
• Christopher S. Perrie, DDS, MD, LLC (Ardmore Oral Surgery)
• Jasoleil Amber Cineus, MA, NCC, LPC
• Manulyn Citron, PHD
• Clementine Home Health Care, LLC (Home Care for the 21st Century - Main Line)
• Michelle Ann Clemmer, LPC

• General Practice Dentistry in Ardmore, PA
• Providers in Ardmore, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.