John F. Geletka, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-012676 Issued in OH

Practice address

5121 Mahoning Ave
Youngstown, OH 44515-1847

Phone

(330) 792-1485

Fax

(330) 792-0398

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720178064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445151847",
            "telephone_number": "330-792-1485",
            "fax_number": "330-792-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 MAHONING AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445151847",
            "telephone_number": "330-792-1485",
            "fax_number": "330-792-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELETKA",
        "first_name": "JOHN",
        "middle_name": "F.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-012676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE LL NPI #",
            "identifier": "1164460606",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Marie Geer, RPH
• Michelle D Geer, OT
• Kaili Amanda Gehring, PA
• Zachary S Geiger, DO
• Tracy Lynn Geiselman, APRN
• Stephen N Geletka, D.D.S.
• Amy Gelfand
• Michael J Gemma, MD
• Thomas M. Gemma, D.O.
• Jennifer Gemmell

• General Practice Dentistry in Youngstown, OH
• Providers in Youngstown, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.