Active NPI
Ihor Voloshyn, DMD
- Endodontics
- Kingston, PA
National Provider Identifier
1770597635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS035059
- Practice address
- 676 Rear Wyoming Ave
Kingston, PA 18704 - Phone
- (570) 331-0824
- Fax
- (570) 331-0827
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS035059 | PA | Primary |
Addresses
Primary practice location
676 Rear Wyoming Ave
Kingston, PA 18704
Mailing address
143 Joyce Dr
Moosic, PA 18507-2111
Phone (570) 331-0824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035059 | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of NE PA, P.C. | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Kingston, PA
- NPI 1780691790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1770597635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 JOYCE DR",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185072111",
"telephone_number": "570-331-0824",
"fax_number": "570-331-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 REAR WYOMING AVE",
"city": "KINGSTON",
"state": "PA",
"postal_code": "18704",
"telephone_number": "570-331-0824",
"fax_number": "570-331-0827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLOSHYN",
"first_name": "IHOR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS035059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.