Savanah Marie Krivonyak, RDH, PHDHP

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

PHDH000919 Issued in PA

Practice address

90 E 2ND St
Emporium, PA 15834-1302

Phone

(814) 486-0909

Fax

(814) 486-0425

NPI assigned

Aug 22, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285150227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 FILLMORE RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573228",
            "telephone_number": "814-389-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E 2ND ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341302",
            "telephone_number": "814-486-0909",
            "fax_number": "814-486-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Clarion Rd",
            "address_purpose": "LOCATION",
            "city": "Johnsonburg",
            "state": "PA",
            "postal_code": "158451656",
            "country_code": "US",
            "telephone_number": "814-965-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIVONYAK",
        "first_name": "SAVANAH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH072495",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH000919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Marshall Keebler III, RPH
• Jennifer Zucal Kelly, RN, CPM
• Keystone Rural Health Consortia, Inc.
• Keystone Rural Health Consortia, Inc.
• Keystone Rural Health Consortia, Inc.
• Victor Lahnovych, MD
• Thomas Luchs
• A Blair Lundberg, RPH
• Donna McKimm, RN, CRNP
• Renee Mostyn

• Dental Hygienist in Emporium, PA
• Providers in Emporium, PA by specialty
• Dental Hygienist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.