Individual provider Active NPI

Margot T. Kusienski, DMD., M.S.ED., MMSC

  • Endodontics
  • Lititz, PA
National Provider Identifier
1427103456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DSO294719L Issued in PA
Practice address
100 Highlands Dr
Suite 302
Lititz, PA 17543-7693
Phone
(717) 625-1901
Fax
(717) 625-1902
NPI assigned
Jan 23, 2007
Sex
Female
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
Endodontics 1223E0200X DSO294719L PA Primary

Addresses

Primary practice location

100 Highlands Dr
Suite 302
Lititz, PA 17543-7693

Mailing address

100 Highlands Dr
Suite 302
Lititz, PA 17543-7693
Phone (717) 625-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001390 PA Order and Referring Only - DentistPractitioner - Dentist 9931402104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO294719LPAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427103456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS DR",
            "address_2": "SUITE 302",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437693",
            "telephone_number": "717-625-1901",
            "fax_number": "717-625-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDS DR",
            "address_2": "SUITE 302",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437693",
            "telephone_number": "717-625-1901",
            "fax_number": "717-625-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSIENSKI",
        "first_name": "MARGOT",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD., M.S.ED., MMSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DSO294719L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.