Active NPI
Joseph Mark Prybyl, D.D.S.
- Dentist
- Mars, PA
National Provider Identifier
1437162344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS022948L
- Practice address
- 697 Mount Pleasant Rd
Mars, PA 16046-4031 - Phone
- (724) 766-2608
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS022948L | PA | Primary |
Addresses
Primary practice location
697 Mount Pleasant Rd
Mars, PA 16046-4031
Mailing address
697 Mount Pleasant Rd
Mars, PA 16046-4031
Phone (247) 766-2609
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1030908820008 | Medicaid | PA | |
| 1030908820002 | Medicaid | PA | |
| 1030908820009 | Medicaid | PA | |
| 1030908820006 | Medicaid | PA | |
| 1030908820004 | Medicaid | PA | |
| 1030908820005 | Medicaid | PA | |
| 1030908820007 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022948L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1437162344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 MOUNT PLEASANT RD",
"city": "MARS",
"state": "PA",
"postal_code": "160464031",
"telephone_number": "247-766-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "697 MOUNT PLEASANT RD",
"city": "MARS",
"state": "PA",
"postal_code": "160464031",
"telephone_number": "724-766-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYBYL",
"first_name": "JOSEPH",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS022948L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820008",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1030908820007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.