James Douglas Trzaska, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047050-1 Issued in NY

Practice address

320 Lockport St
Youngstown, NY 14174-1104

Phone

(716) 745-7052

Fax

(716) 745-7144

NPI assigned

Apr 12, 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.

• Youngstown Family Dentistry, P.C.

  • General Practice Dentistry
  • Youngstown, NY
  • NPI 1568616324

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1265656300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LOCKPORT ST",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141741104",
            "telephone_number": "716-745-7052",
            "fax_number": "716-745-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LOCKPORT ST",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141741104",
            "telephone_number": "716-745-7052",
            "fax_number": "716-745-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRZASKA",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047050-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kendra Traver
• Julia Wysocki, LMSW
• Brianna Yaw
• Youngstown Family Dentistry, P.C.
• Youngstown Volunteer Fire Co Inc

• All providers in Youngstown, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.