Debra Pisarcik, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS037259 Issued in PA

Practice address

900 W Baltimore Pike Ste 203
West Grove, PA 19390-9313

Phone

(610) 869-9727

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• CDH Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harrisburg, PA
  • NPI 1669965521
  NPD (past)
• Holdbrook Pediatric Dental, LLC

  • Pediatric Dentistry
  • Swedesboro, NJ
  • NPI 1679811129
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1134328115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CYPRUS LN",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193204548",
            "telephone_number": "267-872-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W BALTIMORE PIKE STE 203",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909313",
            "telephone_number": "610-869-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISARCIK",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02463800",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS037259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania Medical Professionals, PC
• Heather Penny, PA-C
• Andi Peters
• Physiotherapy Associates Inc
• Nicole Lynn Pickrell
• Richard Ivan Plotzker, MD
• Premier Dental
• Premier Orthopaedic and Sports Medicine Associates LTD
• Premier Orthopaedic and Sports Medicine Associates, LTD
• Ramesht LLC

• Pediatric Dentistry in West Grove, PA
• Providers in West Grove, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.