DR. MATTHEW RADKOWSKI (NPI# 1497880363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497880363 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RADKOWSKI |
| Credential | D.D.S. |
| Practice Address |
344 Budfield St Suite 1 Johnstown PA 15904-3214 |
| Practice Telephone | 8142620123 |
| Practice Fax Number | 8142620516 |
| Mailing Telephone | 8142620123 |
| Mailing Fax Number | 8142620516 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS035548 | PA | Dental Providers |
| Street Address |
344 BUDFIELD ST SUITE 1 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073575882 | Physicians Dialysis Acquisitions Inc | Clinic/Center | 344 Budfield St, Johnstown, PA 15904-3214 | 2006-04-05 |
| 1376019877 | Tara Marie Kraisinger | Dentist | 344 Budfield St, Johnstown, PA 15904-3214 | 2018-10-23 |
| 1851426712 | Scott Q Little | Dentist | 344 Budfield St, Suite 1, Johnstown, PA 15904-3214 | 2007-02-22 |
| 1912032806 | Allegheny Orthodontic Associates | Dentist | 344 Budfield St, Suite 1, Johnstown, PA 15904-3214 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326179649 | Martin Dudas | Dentist | 538 Vine St, Johnstown, PA 15901-2013 | 2007-03-08 |
| 1376684019 | John Michael Burnheimer | Dentist | 336 Bloomfield St Ste 103, Johnstown, PA 15904-3271 | 2007-02-08 |
| 1376019877 | Tara Marie Kraisinger | Dentist | 344 Budfield St, Johnstown, PA 15904-3214 | 2018-10-23 |
| 1659868032 | Vsi Providers Pllc | Dentist | 4795 Larimer Pkwy, Johnstown, CO 80534-9021 | 2018-04-20 |
| 1851426712 | Scott Q Little | Dentist | 344 Budfield St, Suite 1, Johnstown, PA 15904-3214 | 2007-02-22 |
| 1912032806 | Allegheny Orthodontic Associates | Dentist | 344 Budfield St, Suite 1, Johnstown, PA 15904-3214 | 2007-02-22 |
| 1245387497 | Shawn M Murray | Dentist | 257 Johnstown Center Dr, Suite 201, Johnstown, CO 80534-7846 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668076 | Kellyn W. Hodges, Dmd, Ms, PC | Dentist | 411 Doylestown Rd Unit D, Montgomeryville, PA 18936-9636 | 2020-10-26 |
| 1871100941 | Micah Yetter | Dentist | 106 Canyon Ct, Latrobe, PA 15650-2504 | 2020-09-23 |
| 1174137293 | Rebecca Nara Lee | Dentist | 1040 Dekalb Pike Ste 100, Blue Bell, PA 19422-1862 | 2020-09-04 |
| 1841809688 | Noor Tarazi | Dentist | 539 Championship Dr, Harleysville, PA 19438-2178 | 2020-07-28 |
| 1023626850 | Orchard of Smiles Orthodontics LLC | Dentist | 1629 Bridgetown Pike, Feasterville Trevose, PA 19053-4218 | 2020-07-17 |
| 1952919177 | Lam Bui | Dentist | 201 N 8th St Unit 413, Philadelphia, PA 19106-1012 | 2020-07-14 |
| 1316560592 | Lakeview Orthodontics Pllc | Dentist | 959 S Township Line Rd Ste G, Royersford, PA 19468-1823 | 2020-05-22 |
| 1598391344 | Sarah Larue | Dentist | 703 Tamarack Dr, Imperial, PA 15126-1156 | 2020-03-12 |
| 1437794047 | Pittsburgh Orthodontic Group | Dentist | 850 Clairton Blvd Ste 3200, Pittsburgh, PA 15236-4585 | 2019-11-07 |
| 1184275299 | Jake M Dorfman Dmd Pllc | Dentist | 345 Knowles Ave Ste 7, Southampton, PA 18966-4191 | 2019-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.