Individual provider Active NPI

Richard M. Celko, DMD,MBA

  • Dentist
  • Natrona Heights, PA
National Provider Identifier
1063558286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026767 L Issued in PA
Practice address
2314 Buchanan St
Natrona Heights, PA 15065-2402
Phone
(412) 875-7635
Fax
(412) 875-7699
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS026767 L PA Primary
Dentist 122300000X DD2559 NM

Addresses

Primary practice location

2314 Buchanan St
Natrona Heights, PA 15065-2402

Mailing address

2314 Buchanan St
Natrona Heights, PA 15065-2402
Phone (412) 875-7635

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
DD2559NMMDDentist
DS026767 LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063558286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 BUCHANAN ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652402",
            "telephone_number": "412-875-7635",
            "fax_number": "412-875-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 BUCHANAN ST",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652402",
            "telephone_number": "412-875-7635",
            "fax_number": "412-875-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELKO",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD,MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026767 L",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD2559",
            "primary": false
        }
    ],
    "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 Jul 8, 2007; 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.