John M Staivecki, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026311L Issued in PA

Practice address

4525 Spring Hill Dr
Schnecksville, PA 18078-2546

Phone

(610) 799-3200

Fax

(610) 799-3219

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Parkland Dental Center PC

  • General Practice Dentistry
  • Schnecksville, PA
  • NPI 1194811166
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1023157336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 SPRING HILL DRIVE",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "18078",
            "telephone_number": "610-799-3200",
            "fax_number": "610-799-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 SPRING HILL DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782546",
            "telephone_number": "610-799-3200",
            "fax_number": "610-799-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIVECKI",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026311L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Grace Snyder, M.S.W., H.S.V.
• David D Snyder, DMD
• Rowena Solomon, LPT
• Spark Orthodontics
• Speechworks
• Stephen J Drabick OD PC
• Dale Marshall Steventon, D.O.
• Gary Winn Stone, LCSW
• Patrick Robert Stonich, RN,BSN
• Lynne Stout, MSCCCSLP

• General Practice Dentistry in Schnecksville, PA
• Providers in Schnecksville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.