Individual provider Active NPI

John C Chaklos Jr., D.M.D.

  • Dentist
  • Pittsburgh, PA
National Provider Identifier
1871533539
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS019209L Issued in PA
Practice address
230 Meyran Ave
Pittsburgh, PA 15213-3304
Phone
(412) 682-4747
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS019209L PA Primary

Addresses

Primary practice location

230 Meyran Ave
Pittsburgh, PA 15213-3304

Mailing address

230 Meyran Ave
Pittsburgh, PA 15213-3304

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150616002492 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082925110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS019209LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John Chaklos Jr LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1871533539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MEYRAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MEYRAN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133304",
            "telephone_number": "412-682-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKLOS",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS019209L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.