Individual provider Active NPI

George David Kolsun, D.M.D.

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1386773059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-023491L Issued in PA
Practice address
845 Silver Spring PLZ
Suite a
Lancaster, PA 17601-1183
Phone
(717) 285-3440
Fax
(717) 285-3924
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-023491L PA Primary

Addresses

Primary practice location

845 Silver Spring PLZ
Suite a
Lancaster, PA 17601-1183

Mailing address

845 Silver Spring PLZ
Suite a
Lancaster, PA 17601-1183
Phone (717) 285-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS-023491LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386773059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 SILVER SPRING PLZ",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011183",
            "telephone_number": "717-285-3440",
            "fax_number": "717-285-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 SILVER SPRING PLZ",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011183",
            "telephone_number": "717-285-3440",
            "fax_number": "717-285-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSUN",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-023491L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.