Active NPI
Gregory Lee Sencak, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- McKnight, PA
National Provider Identifier
1548778459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS041517
- Practice address
- 178 Baker Dr
McKnight, PA 15237-3601 - Phone
- (412) 736-3284
- NPI assigned
- Jan 12, 2018
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS041517 | PA | Primary |
Addresses
Primary practice location
178 Baker Dr
McKnight, PA 15237-3601
Mailing address
178 Baker Dr
McKnight, PA 15237-3601
Phone (412) 736-3284
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041517 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1548778459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 BAKER DR",
"city": "MCKNIGHT",
"state": "PA",
"postal_code": "152373601",
"telephone_number": "412-736-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 BAKER DR",
"city": "MCKNIGHT",
"state": "PA",
"postal_code": "152373601",
"telephone_number": "412-736-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENCAK",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-12",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS041517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKnight, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.