Michael Martin Breskiewicz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022764L Issued in PA

Practice address

921 Chestnut St
Kulpmont, PA 17834-1207

Phone

(570) 373-3523

NPI assigned

Jan 27, 2007

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

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.

• Michael M Breskiewicz, DMD, PC

  • Dental Clinic/Center
  • Kulpmont, PA
  • NPI 1962709824
  NPD (past) Authorized official

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164578456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHESTNUT ST",
            "city": "KULPMONT",
            "state": "PA",
            "postal_code": "178341207",
            "telephone_number": "570-373-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHESTNUT ST",
            "city": "KULPMONT",
            "state": "PA",
            "postal_code": "178341207",
            "telephone_number": "570-373-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESKIEWICZ",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022764L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hatley Berry, MD
• Kristen Nicole Brosh, CRNP
• Stephanie L. Christian, PA-C
• Community Birth Group
• Carl James Darrup, PA-C
• Christiana May Delk

• General Practice Dentistry in Kulpmont, PA
• Providers in Kulpmont, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.