Martin Anthony Kapusta Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS021221L Issued in PA

Practice address

125 W Penna Ave
New Stanton, PA 15672-9470

Phone

(724) 925-8888

NPI assigned

Nov 8, 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

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

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902976095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "address_2": "125 W PENNA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729470",
            "telephone_number": "724-925-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W PENNA AVE",
            "city": "NEW STANTON",
            "state": "PA",
            "postal_code": "156729470",
            "telephone_number": "724-925-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPUSTA",
        "first_name": "MARTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS021221L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "32685",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Gianni, M.D.
• Lisa M Hafer, DC
• William J Hafer, DC
• Muna N Jabbour, M.D.
• John M Aber MD PC
• Julie Lewandowski, RPH
• Billie Jo Lewis, L.P.C.
• James C.a. Mack, DDS
• New Stanton Chiropractic
• New Stanton Primary Care

• General Practice Dentistry in New Stanton, PA
• Providers in New Stanton, PA by specialty
• General Practice Dentistry 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.