Organization Active NPI

Mars Dental Specialists

  • Pediatric Dentistry
  • Mars, PA
National Provider Identifier
1447486576
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS037688 Issued in PA
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

Updated by the provider on Jun 3, 2009

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS037688 PA Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.