Paul Timothy Smatlak

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020705L Issued in PA

Practice address

203 Clearfield Ave
Punxsutawney, PA 15767-2303

Phone

(814) 938-8554

Fax

(814) 938-8559

NPI assigned

Oct 5, 2006

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

Other identifiers 2

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

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.

• Smatlak & Gigliotti DMD PC

  • Dental Clinic/Center
  • Punxsutawney, PA
  • NPI 1487992517
  NPD (past) Authorized official
• Smatlak & Gisliotti, DMD, PC

  • General Practice Dentistry
  • Punxsutawney, PA
  • NPI 1104902873
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1760578934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CLEARFIELD AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672303",
            "telephone_number": "814-938-8554",
            "fax_number": "814-938-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 CLEARFIELD AVE",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672303",
            "telephone_number": "814-938-8554",
            "fax_number": "814-938-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMATLAK",
        "first_name": "PAUL",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020705L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "251676034",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010829130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Clark Simpson, MD
• Gregory Stephen Skarbek, OTR
• Kelly Ann Skarbek
• Smatlak & Gigliotti DMD PC
• Smatlak & Gisliotti, DMD, PC
• Danielle M Smith, OTR L
• Hunter Linda Smith
• Jadie Marie Smith
• Matthew James Smith, CRNP
• Ashlee Nicole Spack, PA-C

• General Practice Dentistry in Punxsutawney, PA
• Providers in Punxsutawney, 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 Jan 15, 2013; 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.