Charles A. Karcutskie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS022944-L Issued in PA

Practice address

241 Wyoming Ave
Wyoming, PA 18644-1618

Phone

(570) 693-4550

Fax

(570) 693-3199

NPI assigned

Jul 21, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235150715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441618",
            "telephone_number": "570-693-4550",
            "fax_number": "570-693-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 WYOMING AVE",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441618",
            "telephone_number": "570-693-4550",
            "fax_number": "570-693-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARCUTSKIE",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS022944-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "98-22944",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "KA763331",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Harth
• Kelsey Sueann Hartman
• Hilary Hazus, L.M.T.
• Mark Anthony Hilinski, DMD
• Karen M Johns, LCSW
• Carolyn Karosa, CCC,SLP
• Maria Theresa Karpovich, RPH
• Cynthia Mary Kennelly, D.C.
• Elias Aaron Kerr, OTR-L
• Keystone Drug and Alcohol

• General Practice Dentistry in Wyoming, PA
• Providers in Wyoming, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.