Peter J Krenitsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS24116 Issued in PA

Practice address

696 Scranton Carbondale Hwy
Eynon, PA 18403-1004

Phone

(570) 876-4488

Fax

(570) 876-1625

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Century Dental Associates

  • General Practice Dentistry
  • Eynon, PA
  • NPI 1225253388
  NPD (past) Authorized official
• Century Dental GR LLC

  • General Practice Dentistry
  • Scranton, PA
  • NPI 1770355380
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669549325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTRY CLUB PL",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119199",
            "telephone_number": "570-876-4488",
            "fax_number": "570-876-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031004",
            "telephone_number": "570-876-4488",
            "fax_number": "570-876-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRENITSKY",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS24116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Homitz, LCSW
• Caitlin Hunter
• Icu2Inc (Clear Image Optical)
• K-P Chiropractic Center LLC.
• Jill Marie Konosky, D.C.
• Krisiak Chiropractic, P.C.
• Nicholas Lopuhovsky
• Lori Williams-Rudalavage MD LLC
• Luxottica of America Inc. (Pearle Vision #6214)
• Noel Sarcia Macasieb

• General Practice Dentistry in Eynon, PA
• Providers in Eynon, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.

Verify at the official NPI Registry.