NPIMap

Organization Active NPI

Jason D. Nedzinski, D.M.D., P.C.

  • Dentist
  • Saint Marys, PA
National Provider Identifier
1114148889
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS035532 Issued in PA
Legal business name
JASON D. NEDZINSKI, D.M.D., P.C.
Practice address
1082 S Michael St
Suite 2
Saint Marys, PA 15857-3003
Phone
(814) 781-1212
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jason David Nedzinski, D.M.D.NPI 1619072139
Title
President
Phone
(814) 781-1212

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS035532 PA Primary

Addresses

Primary practice location

1082 S Michael St
Suite 2
Saint Marys, PA 15857-3003

Mailing address

1082 S Michael St
Suite 2
Saint Marys, PA 15857-3003
Phone (814) 781-1212

National Provider Directory

National Provider Directory

Locations

1082 S Michael St
Ste 2
Saint Marys, PA 15857
Phone (814) 781-1212

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114148889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 S MICHAEL ST",
            "address_2": "SUITE 2",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573003",
            "telephone_number": "814-781-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 S MICHAEL ST",
            "address_2": "SUITE 2",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573003",
            "telephone_number": "814-781-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D. NEDZINSKI, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEDZINSKI",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-781-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS035532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.