Active NPI
Mars Dental Specialists
- Pediatric Dentistry
- Mars, PA
National Provider Identifier
1447486576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS037688
- Legal business name
- MARS DENTAL SPECIALISTS
- Practice address
- 160 Brickyard Raod
Suite 500
Mars, PA 16046 - Phone
- (724) 625-7200
- NPI assigned
- Jun 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Kreashko, D.M.D, M.D.S.
- Title
- Co-Owner
- Phone
- (724) 625-7200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS037688 | PA | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS026386L | PA |
Addresses
Primary practice location
160 Brickyard Raod
Suite 500
Mars, PA 16046
Mailing address
160 Brickyard Raod
Suite 500
Mars, PA 16046
Phone (724) 625-7200
National Provider Directory
National Provider DirectoryLocations
160 Brickyard Rd
Ste 500
Mars, PA 16046
Phone (724) 625-7200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Mars, PA
- NPI 1396911400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243987200000",
"number": "1447486576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BRICKYARD RAOD",
"address_2": "SUITE 500",
"city": "MARS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-625-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BRICKYARD RAOD",
"address_2": "SUITE 500",
"city": "MARS",
"state": "PA",
"postal_code": "16046",
"telephone_number": "724-625-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARS DENTAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-03",
"last_updated": "2009-06-03",
"status": "A",
"authorized_official_last_name": "KREASHKO",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "724-625-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D, M.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS037688",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS026386L",
"primary": false
}
],
"identifiers": [],
"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 Jun 3, 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.