Individual provider Active NPI

Esteban Pablo Piotraszewski, D.D.S.

  • Dentist
  • Sylmar, CA
National Provider Identifier
1811059017
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35446 Issued in CA
Practice address
13187 Gladstone Ave
Sylmar, CA 91342-3114
Phone
(818) 367-5000
Fax
(818) 362-6626
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35446 CA Primary

Addresses

Primary practice location

13187 Gladstone Ave
Sylmar, CA 91342-3114

Mailing address

13187 Gladstone Ave
Sylmar, CA 91342-3114
Phone (818) 367-5000

Other identifiers 1

IdentifierTypeStateIssuer
G93358-01MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160401000910 CA Order and Referring Only - DentistPractitioner - Dentist 2062719297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35446CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esteban Piotraszewski, DDS, PDC 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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811059017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13187 GLADSTONE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423114",
            "telephone_number": "818-367-5000",
            "fax_number": "818-362-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13187 GLADSTONE AVE",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423114",
            "telephone_number": "818-367-5000",
            "fax_number": "818-362-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTRASZEWSKI",
        "first_name": "ESTEBAN",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93358-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.