Individual provider Active NPI

Stephen J. Chermol, DMD

  • Periodontics
  • West Chester, PA
National Provider Identifier
1982880126
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS027652L Issued in PA
Practice address
1515 W Chester Pike
Suite D4
West Chester, PA 19382-7778
Phone
(610) 431-6520
Fax
(610) 431-0246
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DS027652L PA Primary

Addresses

Primary practice location

1515 W Chester Pike
Suite D4
West Chester, PA 19382-7778

Mailing address

1515 W Chester Pike
Suite D4
West Chester, PA 19382-7778
Phone (610) 431-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS027652LPAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1982880126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CHESTER PIKE",
            "address_2": "SUITE D4",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827778",
            "telephone_number": "610-431-6520",
            "fax_number": "610-431-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CHESTER PIKE",
            "address_2": "SUITE D4",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193827778",
            "telephone_number": "610-431-6520",
            "fax_number": "610-431-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERMOL",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS027652L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.