Individual provider Active NPI

Douglas A. Sadecky, D.M.D, M.D.S.

  • Endodontics
  • Natrona Heights, PA
National Provider Identifier
1023365558
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS027185-L Issued in PA
Practice address
1619 Union Ave.
Suite #3
Natrona Heights, PA 15065
Phone
(724) 224-7809
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS027185-L PA Primary

Addresses

Primary practice location

1619 Union Ave.
Suite #3
Natrona Heights, PA 15065

Mailing address

1619 Union Ave.
Suite #3
Natrona Heights, PA 15065
Phone (724) 224-7809

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
DS027185-LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1023365558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 UNION AVE.",
            "address_2": "SUITE #3",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 UNION AVE.",
            "address_2": "SUITE #3",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "15065",
            "telephone_number": "724-224-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADECKY",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "credential": "D.M.D, M.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS027185-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natrona Heights, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.