K. Pete Czaruk, D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

30015642 Issued in OH

Legal business name

K. PETE CZARUK, D.D.S., INC.

Practice address

2066 W Henderson Rd
Columbus, OH 43220-2452

Phone

(614) 459-3740

Fax

(614) 586-0065

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Pamella Collins, CODA, CP

Title

Dental Assitant

Phone

(614) 459-3740

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kohut Pete Czaruk, DDS

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1164561577
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1629390273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 W HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-459-3740",
            "fax_number": "614-586-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 W HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202452",
            "telephone_number": "614-459-3740",
            "fax_number": "614-586-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. PETE CZARUK, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "PAMELLA",
        "authorized_official_title_or_position": "DENTAL ASSITANT",
        "authorized_official_telephone_number": "614-459-3740",
        "authorized_official_credential": "CODA, CP"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "30015642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0368785",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.