Jason Jon Pawlowicz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035158 Issued in PA

Practice address

516 Hansen Ave
Lyndora, PA 16045-1366

Phone

(724) 287-4000

Fax

(724) 287-4088

NPI assigned

Nov 2, 2011

Last updated

Nov 2, 2011By 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

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pawlowicz Dentistry LTD

  • General Practice Dentistry
  • Lyndora, PA
  • NPI 1558413310
  NPD (past)

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1245516384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HANSEN AVE",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451366",
            "telephone_number": "724-287-4000",
            "fax_number": "724-287-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 HANSEN AVE",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451366",
            "telephone_number": "724-287-4000",
            "fax_number": "724-287-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWICZ",
        "first_name": "JASON",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merakey Pennsylvania
• Mitra Arthritis & Osteoporosis Center PC
• Devashis A Mitra, MD
• Ashley Nicole Morley, PA
• Pawlowicz Dentistry LTD
• John S Pawlowicz, DDS, FAGD
• Jennifer Rzeplinski
• Zachary G Straynick
• Timothy a Brown MD PC
• Trilogy BH LLC

• General Practice Dentistry in Lyndora, PA
• Providers in Lyndora, 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 Nov 2, 2011; 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.