Gerald J Kazmerski, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DS017739L Issued in PA

Practice address

959 Wyoming Ave
Second Floor, Dental Offices
Scranton, PA 18509-3023

Phone

(570) 504-0882

Fax

(570) 504-0859

NPI assigned

Sep 27, 2006

Last updated

Apr 17, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1174614168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SCRANTON PRIMARY HEALTH CARE CENTER-DENTAL",
            "address_2": "959 WYOMING AVENUE, SECOND FLOOR",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18509",
            "telephone_number": "570-504-0882",
            "fax_number": "570-504-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 WYOMING AVE",
            "address_2": "SECOND FLOOR, DENTAL OFFICES",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185093023",
            "telephone_number": "570-504-0882",
            "fax_number": "570-504-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMERSKI",
        "first_name": "GERALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "PA",
            "license": "DS017739L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010505830003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raminder Kaur
• Ravleen Kaur
• Simranjit Kaur, MD
• Himanshu Kavani, MD
• Michael C. Kayal, D.O.
• Daniel Joseph Kazmierski, M.D.
• Anthony Andrew Kearney, MS, CAADC, LPC
• Jennifer Louise Kearney, DPT
• Suzanne Kearney
• Emily Keeler, D.O.

• Public Health Dentistry in Scranton, PA
• Providers in Scranton, PA by specialty
• Public Health Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.