Pelka Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS039116 Issued in PA

Legal business name

PELKA ENDODONTICS, LLC

Practice address

110 Regent CT
State College, PA 16801-7966

Phone

(814) 234-2428

Fax

(814) 231-0118

NPI assigned

Mar 13, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kasia Pelka, MBA

Title

Business Manager

Phone

(914) 588-2472

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald W Wells, DDS

  • Endodontics
  • State College, PA
  • NPI 1073532164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1609317478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-234-2428",
            "fax_number": "814-231-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017966",
            "telephone_number": "814-234-2428",
            "fax_number": "814-231-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELKA ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "PELKA",
        "authorized_official_first_name": "KASIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "914-588-2472",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS039116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duane L. Peachey, P.T.
• Kiersten Elizabeth Pearce, PA-C
• Andrew James Pearson, DPT
• Kip M. Peeler, PA-C
• Christopher Pelchar Jr., PHARM D.
• Jakub Pelka, D.M.D.
• Ashli Brooke Pellegrino, PHD
• Penn State Hershey Endoscopy Center LLC
• Pennsylvania CVS Pharmacy LLC
• Pennsylvania CVS Pharmacy, L.L.C.

• Endodontics in State College, PA
• Providers in State College, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.