Endodontic Specialists of Nepa, P.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

ENDODONTIC SPECIALISTS OF NEPA, P.C.

Practice address

258 Airport Rd
Hazle Township, PA 18202-3321

Phone

(570) 459-3470

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

ENDODONTIC SPECIALISTS OF NEPA, P.C.As reported in NPPES

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 1

Addresses

Tax ID family

Endodontic Specialists of Nepa PC2 organizations share this tax ID, including this one

Part of

Endodontic Specialists of Nepa PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Endodontic Specialists of Nepa, P.C.

  • Endodontics
  • Kingston, PA
  • NPI 1831396886
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Endodontic Specialists of Nepa, P.C.

  • Endodontics
  • Kingston, PA
  • NPI 1831396886
  NPPES parent name

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1134023948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 AIRPORT RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023321",
            "telephone_number": "570-459-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 AIRPORT RD",
            "city": "HAZLE TOWNSHIP",
            "state": "PA",
            "postal_code": "182023321",
            "telephone_number": "570-459-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SPECIALISTS OF NEPA, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENDODONTIC SPECIALISTS OF NEPA, P.C.",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Sandra M Krokos & Thomas P Kislan PC (Hazleton Eye Specialists)
• Hailey Dwyer, PA-C
• Eagle Optometric PC
• Rhina Elliot, DDS
• Endocrinology Clinic P.C.
• Gabrielle Engelke, PTA
• Mboutidem Etokakpan, MD
• Travis Evans, DPT
• Evernorth Direct Health LLC
• Eye Care Specialists, P.C.

• Endodontics in Hazle Township, PA
• Providers in Hazle Township, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.