Active NPI
George Kivowitz, DDS
- General Practice Dentistry
- Newtown, PA
National Provider Identifier
1326166695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS025364-L
- Practice address
- 12 Penn's Trail
Newtown, PA 18940 - Phone
- (212) 371-1971
- Fax
- (212) 685-4939
- NPI assigned
- Mar 26, 2007
- Last updated
- Feb 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS025364-L | PA | Primary |
Addresses
Primary practice location
12 Penn's Trail
Newtown, PA 18940
Mailing address
12 Penn's Trail
Newtown, PA 18940
Phone (212) 371-1971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 23, 2016 through Feb 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025364-L | PA | MD | General Practice Dentistry |
| 034348 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1326166695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PENN'S TRAIL",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "212-371-1971",
"fax_number": "212-685-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PENN'S TRAIL",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "18940",
"telephone_number": "212-371-1971",
"fax_number": "212-685-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVOWITZ",
"first_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS025364-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.