Kohut Pete Czaruk, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.015642 Issued in OH

Practice address

2066 Henderson Rd
Columbus, OH 43220-2452

Phone

(614) 459-3740

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• K. Pete Czaruk, D.D.S., Inc.

  • Dentist
  • Columbus, OH
  • NPI 1629390273
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164561577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-459-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-459-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARUK",
        "first_name": "KOHUT",
        "middle_name": "PETE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.015642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368785",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cyphers, OD
• Kimberly Gaye Cyphert, NP
• Katherine Maria Cyran, M.D.
• Andrea Renee Cywinski, OTR/L
• Joshua Cywinski
• Paige Lee Czerpak, AGACNP-BC
• Michelle Nicole Czich, LMT
• D & G Partners
• D. Neal Mastruserio, M.D., LLC
• D.a.T.S Home Health Services LLC

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.