Jonathan Casimir Szymanowski, DMD,MMSC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

46331 Issued in CA

Practice address

2 Scripps Dr
#303
Sacramento, CA 95825-6207

Phone

(916) 929-5052

Fax

(916) 929-5416

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 17, 2015 through Nov 17, 2027

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.

• C. Thaddeus Szymanowski, D.D.S, Inc.

  • Periodontics
  • Sacramento, CA
  • NPI 1548308356
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164467148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SCRIPPS DR",
            "address_2": "#303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256207",
            "telephone_number": "916-929-5052",
            "fax_number": "916-929-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCRIPPS DR",
            "address_2": "#303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256207",
            "telephone_number": "916-929-5052",
            "fax_number": "916-929-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMANOWSKI",
        "first_name": "JONATHAN",
        "middle_name": "CASIMIR",
        "name_prefix": "Dr.",
        "credential": "DMD,MMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Szeto, PHARMD
• Timothy K Szeto, PHARM D.
• Sydney Joanna Szillinsky
• Casimir Thaddeus Szymanowski, DDS
• Damon Peter Szymanowski, D.M.D.
• T and V Rooming for the Mentally and Disable LLC
• T Rajagopal MD Inc
• T Street LLC
• T.E.L. Enterprises, Inc
• Khoi Ba Ta III, CHIROPRACTOR

• Periodontics in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.