John Pawlowicz, DMD, MICCMO, LVIF

Primary specialty

DentistTaxonomy code 122300000X

License

DS028809L Issued in PA

Practice address

732 Winter Park Dr
Mars, PA 16046-3950

Phone

(412) 629-2886

NPI assigned

Apr 11, 2012

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 and National Provider Directory roles.

• Pawlowicz Dentistry LTD

  • General Practice Dentistry
  • Lyndora, PA
  • NPI 1558413310
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1710244058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WINTER PARK DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463950",
            "telephone_number": "724-779-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WINTER PARK DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160463950",
            "telephone_number": "412-629-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Hansen Ave",
            "address_purpose": "LOCATION",
            "city": "Lyndora",
            "state": "PA",
            "postal_code": "160451366",
            "country_code": "US",
            "telephone_number": "724-287-4000",
            "fax_number": "724-287-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWLOWICZ",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD, MICCMO, LVIF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028809L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina O'Brien, CCC-SLP
• Halee L. Onder, PA-C
• Jennifer Lynn Pacella, DMD
• Susan Beggan Paganie, MS, LPC, NCC
• Barbara Yovetich Pane, LCSW
• Pelvic Align PT
• Stephanie Marie Pennock, PHARMD
• Pennsylvania CVS Pharmacy LLC
• Daniel Frederick Penrod, PH.D.
• Thomas Edward Perry, PTA

• Dentist in Mars, PA
• Providers in Mars, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.