NPIMap

Organization Active NPI

Western Pennsylvania Dental Group

  • General Practice Dentistry
  • Johnstown, PA
National Provider Identifier
1992879001
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029923L Issued in PA
Legal business name
WESTERN PENNSYLVANIA DENTAL GROUP
Practice address
241 Schoolhouse Rd
Johnstown, PA 15904-3219
Phone
(814) 266-9535
Fax
(814) 266-9305
NPI assigned
Nov 20, 2006
Organization subpart
Yes
Parent organization
WESTERN PENNSYLVANIA DENTAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS029923L PA Primary

Addresses

Primary practice location

241 Schoolhouse Rd
Johnstown, PA 15904-3219

Mailing address

241 Schoolhouse Rd
Johnstown, PA 15904-3219
Phone (814) 266-9535

Other names 1

  • Chestnut Hills Dental Johnstown Richland Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chestnut Hills Dental15 organizations share this tax ID, including this one
Part of
Chestnut Hills Dental

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1992879001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SCHOOLHOUSE RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043219",
            "telephone_number": "814-266-9535",
            "fax_number": "814-266-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SCHOOLHOUSE RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043219",
            "telephone_number": "814-266-9535",
            "fax_number": "814-266-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN PENNSYLVANIA DENTAL GROUP",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029923L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Hills Dental Johnstown Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.