Joseph L Kaczor, Inc PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS022361-L Issued in PA

Legal business name

JOSEPH L KACZOR, INC PC

Practice address

2606 Broad Ave.
Altoona, PA 16601-1915

Phone

(814) 944-6355

Fax

(814) 941-7324

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Kaczor, DMD

Title

President

Phone

(814) 944-6355

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1346322799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BROAD AVE.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011915",
            "telephone_number": "814-944-6355",
            "fax_number": "814-941-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 BROAD AVE.",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166011915",
            "telephone_number": "814-944-6355",
            "fax_number": "814-941-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L KACZOR, INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "KACZOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-944-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022361-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "000060334",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019426300002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Elizabeth Jones, PT, DPT
• Renee L Jones, MD
• Shawn D Jones, OD
• Pauletta Kiven Jordan, DO
• Terry Jordan
• John Arthur Joseph, DC, P.C.
• Lance B Joseph
• Malaika Briged Joseph, M.D.
• Alice Plummer Joyce, M.D.
• John P Joyce, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Altoona, PA
• Providers in Altoona, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.