Anthony M Kibelbek, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS025-866L Issued in PA

Practice address

850 Main Street
Coalport, PA 16627

Phone

(814) 672-5480

Fax

(814) 672-5461

NPI assigned

Jul 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHDFBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Glendale Area Medical Association, Inc

  dba Glendale Area Medical Center

  • Federally Qualified Health Center (FQHC)
  • Coalport, PA
  • NPI 1255300596
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902825219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAIN STREET",
            "address_2": "P.O. BOX 375",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "16627",
            "telephone_number": "814-941-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN STREET",
            "city": "COALPORT",
            "state": "PA",
            "postal_code": "16627",
            "telephone_number": "814-672-5480",
            "fax_number": "814-672-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIBELBEK",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS025-866L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Gabriel, D.P.T.
• Gregory P Gates, DMD
• Glendale Area Medical Association, Inc (Glendale Area Medical Center)
• Glendale Rehabilitation Inc.
• Staci Kephart, PA
• Kinetics Counseling
• Laura J Rizzo DMD PC
• Joseph Leyo III, RPH
• Leyos Inc (Leyos Pharmacy)
• Lindsey Elizabeth Link, PA-C

• Dentist in Coalport, PA
• Providers in Coalport, PA by specialty
• Dentist 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.