Jason Sika, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036479 Issued in PA

Practice address

433 S Best Ave
Walnutport, PA 18088-1217

Phone

(610) 767-0601

NPI assigned

Jul 15, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Professional Dental Associates P.C.

  • General Practice Dentistry
  • Walnutport, PA
  • NPI 1265519086
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104843531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAMAPO TRL",
            "address_2": "APT. F-16",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048587",
            "telephone_number": "610-351-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S BEST AVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180881217",
            "telephone_number": "610-767-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKA",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saba
• Michelle Leann Savic, OTR
• Paul Michael Sawarynski, PHARMD
• Karissa Schmidt
• Regina Sharpe
• St. Luke'S Physician Group, Inc.
• Cosimo D Stout, RPH
• Ann Tocci
• VCBD Enterprises, Inc
• Barrie Jo Wambold, PT

• General Practice Dentistry in Walnutport, PA
• Providers in Walnutport, 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 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.