Organization Active NPI

Steven C Iszkula DMD Orthodontics & Co

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Erie, PA
National Provider Identifier
1760823637
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS037264 Issued in PA
Legal business name
STEVEN C ISZKULA DMD ORTHODONTICS & CO
Practice address
3900 Zuck Rd
Erie, PA 16506-4515
Phone
(814) 833-5322
NPI assigned
Jul 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Steven Iszkula, DMD
Title
Orthodontist
Phone
(814) 833-5322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS037264 PA Primary

Addresses

Primary practice location

3900 Zuck Rd
Erie, PA 16506-4515

Mailing address

3900 Zuck Rd
Erie, PA 16506-4515

Other identifiers 1

IdentifierTypeStateIssuer
1027119080002MedicaidPA

Other names 1

  • Utley & Iszkula Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3900 Zuck Rd
Erie, PA 16506
Phone (814) 833-5322

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1760823637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064515",
            "telephone_number": "814-833-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN C ISZKULA DMD ORTHODONTICS & CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ISZKULA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "814-833-5322",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS037264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027119080002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utley & Iszkula Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.