Active NPI
George N/a Telatnyk, D.D.S.
- General Practice Dentistry
- Italy, TX
National Provider Identifier
1477574671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9393
- Practice address
- 1005 E Highway 34
Italy, TX 76651-3687 - Phone
- (972) 483-1000
- Fax
- (972) 483-1002
- NPI assigned
- Jul 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9393 | TX | Primary |
Addresses
Primary practice location
1005 E Highway 34
Italy, TX 76651-3687
Mailing address
1005 E Highway 34
Italy, TX 76651-3687
Phone (972) 483-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322000925 | TX | Order and Referring Only - Dentist | 2860799640 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477574671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 E HIGHWAY 34",
"city": "ITALY",
"state": "TX",
"postal_code": "766513687",
"telephone_number": "972-483-1000",
"fax_number": "972-483-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 E HIGHWAY 34",
"city": "ITALY",
"state": "TX",
"postal_code": "766513687",
"telephone_number": "972-483-1000",
"fax_number": "972-483-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELATNYK",
"first_name": "GEORGE",
"middle_name": "N/A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "9393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Italy, TX
- MD Pharmacueticals LLC (Italy Family Pharmacy)
- Judy Elaine Montgomery
- April Lynn Rosales
- Michael Dwayne Shelby
- Tamar Transport Services LLC
- Trinity Mission of Italy, LLC
- Trinity Nursing and Rehabilitation of Italy, LP
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2345)
- West Wharton County Hospital District (Renaissance Rehabilitation and Healthcare Center)
- Natalie Ann Workman
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.