NPIMap

Organization Active NPI

Dentihealth LLC

  • Dental Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1013567387
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTIHEALTH LLC
Practice address
150 SW Chamber CT Ste 201
Port Saint Lucie, FL 34986-3413
Phone
(772) 336-8253
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Jaroslaw Cegielski, DMDNPI 1215046446
Title
Owner
Phone
(772) 336-8253

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 Primary

Addresses

Primary practice location

150 SW Chamber CT Ste 201
Port Saint Lucie, FL 34986-3413

Mailing address

150 SW Chamber CT Ste 201
Port Saint Lucie, FL 34986-3413
Phone (772) 336-8253

National Provider Directory

National Provider Directory

Locations

150 SW Chamber Ct
Ste 201
Port St Lucie, FL 34986
Phone (772) 335-0993

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1013567387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-336-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 201",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-336-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "CEGIELSKI",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-336-8253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.