Pawel R Bielecki, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAWEL R BIELECKI, DDS, PC

Practice address

317 W 3Rd St
La Junta, CO 81050-1401

Phone

(719) 733-3303

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Michael R Herrera

Title

Business Manager

Phone

(719) 696-9009

Specialties & licenses 1

Addresses

Other names 1

• Young at Heart Dentistry La Junta Doing business as

Tax ID family

Pawel R Bielecki DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pawel R Bielecki, DDS, PC

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1386309243
  NPD tax ID
• Pawel R Bielecki, DDS, PC

  • General Practice Dentistry
  • Pueblo, CO
  • NPI 1467627281
  NPD tax ID

Locations

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1902432479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 PEPPER LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810053276",
            "telephone_number": "719-696-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 3RD ST",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501401",
            "telephone_number": "719-733-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 West 4th Street",
            "address_purpose": "LOCATION",
            "city": "La Junta",
            "state": "CO",
            "postal_code": "81050",
            "country_code": "US",
            "telephone_number": "719-733-3303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2603 Vinewood Ln",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810053370",
            "country_code": "US",
            "telephone_number": "719-564-6464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAWEL R BIELECKI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "719-696-9009"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young at Heart Dentistry La Junta",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Young at Heart Dentistry La Junta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alonna Kaye Packard, B.S.
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• Leigh Parker, MS, CCC-SLP
• Russell Parker
• Partnership for Progress LLC
• Janine Libby Pearce-Vasquez, M.A.
• Rochelle Peil
• Meghan Brianna Penwitt, M.S.
• Ron Peterson, FNP
• Caitlin Philpy, NP

• Dental Clinic/Center in La Junta, CO
• Providers in La Junta, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.