Active NPI
Dr Kathy Percosky's Gentle Dentistry
- General Practice Dentistry
- Johnstown, PA
National Provider Identifier
1235204488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS028979L
- Legal business name
- DR KATHY PERCOSKY'S GENTLE DENTISTRY
- Practice address
- 203 Strayer St
Johnstown, PA 15906-2012 - Phone
- (814) 535-6458
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathy Marie Percosky, D.D.S.
- Title
- Owner
- Phone
- (814) 535-6458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS028979L | PA | Primary |
Addresses
Primary practice location
203 Strayer St
Johnstown, PA 15906-2012
Mailing address
1501 Centennial Dr
Windber, PA 15963-8813
Phone (814) 262-7429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019507300001 | Other | PA | MEDICAL ASSISTANCE |
| 86013 | Other | PA | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
203 Strayer St
Johnstown, PA 15906
Phone (814) 535-6458
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Johnstown, PA
- NPI 1457426694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235204488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CENTENNIAL DR",
"city": "WINDBER",
"state": "PA",
"postal_code": "159638813",
"telephone_number": "814-262-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 STRAYER ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159062012",
"telephone_number": "814-535-6458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR KATHY PERCOSKY'S GENTLE DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERCOSKY",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-535-6458",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS028979L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "0019507300001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "86013",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.