NPIMap

Organization Active NPI

Smatlak & Gisliotti, DMD, PC

  • General Practice Dentistry
  • Punxsutawney, PA
National Provider Identifier
1104902873
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020705L Issued in PA
Legal business name
SMATLAK & GISLIOTTI, DMD, PC
Practice address
203 Clearfield Ave
Punxsutawney, PA 15767
Phone
(814) 938-8554
Fax
(814) 938-8559
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Dr. Amy Peace Gigliotti, D.M.D.NPI 1528154739
Title
Dentist President
Phone
(814) 938-8554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS020705L PA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS022899L PA

Addresses

Primary practice location

203 Clearfield Ave
Punxsutawney, PA 15767

Mailing address

203 Clearfield Ave
Punxsutawney, PA 15767
Phone (814) 938-8554

Other identifiers 3

IdentifierTypeStateIssuer
001945347001MedicaidPA
0019453470001MedicaidPA
0010829130001MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1104902873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CLEARFIELD AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "15767",
            "telephone_number": "814-938-8554",
            "fax_number": "814-938-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CLEARFIELD AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "15767",
            "telephone_number": "814-938-8554",
            "fax_number": "814-938-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMATLAK & GISLIOTTI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "GIGLIOTTI",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "PEACE",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "814-938-8554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020705L",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022899L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001945347001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019453470001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010829130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.