PDSC PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8809 Issued in CO

Legal business name

PDSC PC

Practice address

2041 Pepper LN
Pueblo, CO 81005-3276

Phone

(719) 564-6464

NPI assigned

Sep 15, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pawel Robert Bielecki, DDSNPI 1063686681

Title

Ow

Phone

(719) 924-8535

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pawel Robert Bielecki, DDS

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1063686681
  Authorized official Same address or phone

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1154879344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 VINEWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053370",
            "telephone_number": "719-924-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 PEPPER LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053276",
            "telephone_number": "719-564-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "BIELECKI",
        "authorized_official_first_name": "PAWEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OW",
        "authorized_official_telephone_number": "719-924-8535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO BOARD OF EXAMINERS",
            "identifier": "8809",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Payne, PT, DPT
• Davon Payne, RBT
• Stephanie Payne, D.O.
• Tammy R Payne, LCSW
• Wayne Frank Payne, D.D.S.
• Peaceful Mind Wise Heart DBT PLLC
• Peak Medical Colorado No. 2, Inc. (Pueblo Center)
• Peak Medical Colorado No. 2, LLC (Pueblo Care and Rehabilitation Center)
• Peak Performance Pain Management
• Peak Performance Pain Management LLC

• General Practice Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.