Organization Active NPI

Michael M Breskiewicz, DMD, PC

  • Dental Clinic/Center
  • Kulpmont, PA
National Provider Identifier
1962709824
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS022764L Issued in PA
Legal business name
MICHAEL M BRESKIEWICZ, DMD, PC
Practice address
921 Chestnut St
Kulpmont, PA 17834-1207
Phone
(570) 373-3523
NPI assigned
Feb 11, 2011
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Michael Martin BreskiewiczNPI 1164578456
Title
DMD
Phone
(570) 373-3523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS022764L PA Primary

Addresses

Primary practice location

921 Chestnut St
Kulpmont, PA 17834-1207

Mailing address

921 Chestnut St
Kulpmont, PA 17834-1207
Phone (570) 373-3523

Other identifiers 1

IdentifierTypeStateIssuer
001OtherNONE

National Provider Directory

National Provider Directory

Locations

921 Chestnut St
Kulpmont, PA 17834
Phone (570) 373-3523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1962709824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHESTNUT ST",
            "city": "KULPMONT",
            "state": "PA",
            "postal_code": "178341207",
            "telephone_number": "570-373-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHESTNUT ST",
            "city": "KULPMONT",
            "state": "PA",
            "postal_code": "178341207",
            "telephone_number": "570-373-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL M BRESKIEWICZ, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "BRESKIEWICZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "570-373-3523",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS022764L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kulpmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.