Frank Joseph Blozusky, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029348L Issued in PA

Practice address

309 W Pine St
Frackville, PA 17931-1211

Phone

(570) 874-3981

Fax

(570) 874-3981

NPI assigned

Oct 25, 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

Practice roles

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.

• Broad Mountain Family Dentistry, P.C.

  • General Practice Dentistry
  • Frackville, PA
  • NPI 1366416828
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902981475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311211",
            "telephone_number": "570-874-3981",
            "fax_number": "570-874-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W PINE ST",
            "city": "FRACKVILLE",
            "state": "PA",
            "postal_code": "179311211",
            "telephone_number": "570-874-3981",
            "fax_number": "570-874-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOZUSKY",
        "first_name": "FRANK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029348L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Thomas Adams Jr., DC
• Bernard Adukaitis, D.O.
• Allyson Allison
• Caitlin Barnett, DPT
• Amy Gregory Barrett, PA-C
• Ashley A. Breece, D.P.T.
• Broad Mountain Family Dentistry, P.C.
• Broad Mountain Health & Rehabilitation Center, LLC
• Erin Bush, RPH
• Christina Marie Butts, LCSW

• General Practice Dentistry in Frackville, PA
• Providers in Frackville, 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.