Individual provider Active NPI

Maria H Poczatek, DMD

  • General Practice Dentistry
  • Pell City, AL
National Provider Identifier
1093846669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5423 Issued in AL
Practice address
1605 Cogswell Ave
Pell City, AL 35125-1644
Phone
(205) 884-2370
Fax
(205) 338-0971
NPI assigned
Mar 8, 2007
Sex
Female
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5423 AL Primary

Addresses

Primary practice location

1605 Cogswell Ave
Pell City, AL 35125-1644

Mailing address

1605 Cogswell Ave
Pell City, AL 35125-1644
Phone (205) 884-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20180525000878 AL Practitioner - Dentist 3274898036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5423ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pell City Dental Center, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093846669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251644",
            "telephone_number": "205-884-2370",
            "fax_number": "205-338-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251644",
            "telephone_number": "205-884-2370",
            "fax_number": "205-338-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCZATEK",
        "first_name": "MARIA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.