Organization Active NPI

Dennis E. Borodaty DMD

  • General Practice Dentistry
  • Monongahela, PA
National Provider Identifier
1790813574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018027L Issued in PA
Legal business name
DENNIS E. BORODATY DMD
Practice address
100 Alexander Ave
Monongahela, PA 15063-1002
Phone
(724) 258-8215
Fax
(724) 258-8215
NPI assigned
Mar 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Edward Borodaty, D.M.D.
Title
President
Phone
(724) 258-8215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS018027L PA Primary

Addresses

Primary practice location

100 Alexander Ave
Monongahela, PA 15063-1002

Mailing address

100 Alexander Ave
Monongahela, PA 15063-1002
Phone (724) 258-8215

National Provider Directory

National Provider Directory

Locations

100 Alexander St
Monongahela, PA 15063
Phone (724) 258-8215

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790813574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALEXANDER AVE",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631002",
            "telephone_number": "724-258-8215",
            "fax_number": "724-258-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALEXANDER AVE",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631002",
            "telephone_number": "724-258-8215",
            "fax_number": "724-258-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS E. BORODATY DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORODATY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-258-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018027L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.