Individual provider Active NPI

Joseph Anthony Kobylinski, DDS

  • Dentist
  • Pleasantville, PA
National Provider Identifier
1952437402
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020574 L Issued in PA
Practice address
381 Chestnut Street
Pleasantville, PA 16341
Phone
(814) 589-7613
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020574 L PA Primary

Addresses

Primary practice location

381 Chestnut Street
Pleasantville, PA 16341

Mailing address

202 Union St
Titusville Dental Arts
Titusville, PA 16354-1166
Phone (814) 827-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS020574 LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1952437402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 UNION ST",
            "address_2": "TITUSVILLE DENTAL ARTS",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541166",
            "telephone_number": "814-827-6714",
            "fax_number": "814-827-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 CHESTNUT STREET",
            "city": "PLEASANTVILLE",
            "state": "PA",
            "postal_code": "16341",
            "telephone_number": "814-589-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBYLINSKI",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020574 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.