Mario Czonstkowsky, D.M.D., M.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DSO26059-L Issued in PA

Practice address

410 S Craig St
Suite 101
Pittsburgh, PA 15213-3709

Phone

(412) 681-2991

Fax

(412) 681-2664

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780696450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S CRAIG ST",
            "address_2": "SUITE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133709",
            "telephone_number": "412-681-2991",
            "fax_number": "412-681-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S CRAIG ST",
            "address_2": "SUITE 101",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133709",
            "telephone_number": "412-681-2991",
            "fax_number": "412-681-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZONSTKOWSKY",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DSO26059-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENDODONTICS",
            "identifier": "DSO26059-L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Czarniecki
• Elizabeth Diane Czekaj, LPC
• Stefani Czekaj, PT
• Mary Czerniak
• Sharona Czerniak, M.D
• D. Singh MD and Associates
• Martha Jane D'Abruzzo, MSW, LSW
• Douglas Vincent D'Agati, M.D.
• Louis D'Agostino
• Nikki Anne D'Agostino, OTD, OTR/L

• Endodontics in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Endodontics in Pennsylvania

• 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.
• 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.