Organization Active NPI

A.L. Checchio & G.T. Dowd, LTD.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Philadelphia, PA
National Provider Identifier
1831158419
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
A.L. CHECCHIO & G.T. DOWD, LTD.
Practice address
9525 Frankford Ave
Philadelphia, PA 19114-2812
Phone
(215) 333-9696
Fax
(215) 333-8514
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. Mary Anne Checchio, DDSNPI 1689634602
Title
Oral Surgeon
Phone
(215) 333-9696

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

9525 Frankford Ave
Philadelphia, PA 19114-2812

Mailing address

9525 Frankford Avenue
Philadelphia, PA 19114-2812
Phone (215) 333-9696

Other identifiers 2

IdentifierTypeStateIssuer
0060846000OtherPAKEYSTONE/PERSONAL CHOICE
30994OtherPAAETNA US HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506000588 PA Part B Supplier - Clinic/Group Practice 8426046418 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1831158419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 FRANKFORD AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142812",
            "telephone_number": "215-333-9696",
            "fax_number": "215-333-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142812",
            "telephone_number": "215-333-9696",
            "fax_number": "215-333-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.L. CHECCHIO & G.T. DOWD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "CHECCHIO",
        "authorized_official_first_name": "MARY ANNE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "215-333-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE/PERSONAL CHOICE",
            "identifier": "0060846000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "30994",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.