Active NPI
Israel Kazew, DMD
- Dentist
- Murrysville, PA
National Provider Identifier
1639385982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS02242L
- Practice address
- 4057 Old William Penn Hwy
Murrysville, PA 15668-1846 - Phone
- (724) 816-7816
- Fax
- (724) 816-7816
- NPI assigned
- May 15, 2007
- Last updated
- Aug 15, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS02242L | PA | Primary |
Addresses
Primary practice location
4057 Old William Penn Hwy
Murrysville, PA 15668-1846
Mailing address
4057 Old William Penn Hwy
Murrysville, PA 15668-1846
Phone (724) 816-7816
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 |
|---|---|---|---|
| DS02242L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1639385982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4057 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681846",
"telephone_number": "724-816-7816",
"fax_number": "724-776-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4057 OLD WILLIAM PENN HWY",
"city": "MURRYSVILLE",
"state": "PA",
"postal_code": "156681846",
"telephone_number": "724-816-7816",
"fax_number": "724-816-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZEW",
"first_name": "ISRAEL",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS02242L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.