Individual provider Active NPI

James Sirotnak, DMD

  • Dentist
  • Throop, PA
National Provider Identifier
1992816284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS027651L Issued in PA
Practice address
400 Dunmore St
Throop, PA 18512-1147
Phone
(570) 489-2101
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS027651L PA Primary

Addresses

Primary practice location

400 Dunmore St
Throop, PA 18512-1147

Mailing address

400 Dunmore St
Throop, PA 18512-1147
Phone (570) 489-2101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150410000178 PA Order and Referring Only - DentistPractitioner - Dentist 6507184173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027651LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James Sirotnak PC Past Accepting new patients
Nepa Healthcare Dentist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992816284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DUNMORE ST",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121147",
            "telephone_number": "570-489-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DUNMORE ST",
            "city": "THROOP",
            "state": "PA",
            "postal_code": "185121147",
            "telephone_number": "570-489-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTNAK",
        "first_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027651L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Throop, PA

Sources for this page

Verify at the official NPI Registry.