Active NPI
Frank Matthew Piesko, DDS
- Dentist
- Frankenmuth, MI
National Provider Identifier
1063621118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17419
- Practice address
- 1025 W Genesee St
Frankenmuth, MI 48734-1302 - Phone
- (989) 652-6196
- Fax
- (989) 652-9021
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17419 | MI | Primary |
Addresses
Primary practice location
1025 W Genesee St
Frankenmuth, MI 48734-1302
Mailing address
1025 W Genesee St
Frankenmuth, MI 48734-1302
Phone (989) 652-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150610001414 | MI | Order and Referring Only - Oral Surgery | 8022339472 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17419 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frankenmuth Family Dental Associates | Past | Accepting new patients | |
| Piesko & Lennan DDS, PC | 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.
-
- General Practice Dentistry
- Hemlock, MI
- NPI 1407915846
-
- Dentist
- Hemlock, MI
- NPI 1396999264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063621118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W GENESEE ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341302",
"telephone_number": "989-652-6196",
"fax_number": "989-652-9021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 W GENESEE ST",
"city": "FRANKENMUTH",
"state": "MI",
"postal_code": "487341302",
"telephone_number": "989-652-6196",
"fax_number": "989-652-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIESKO",
"first_name": "FRANK",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "17419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frankenmuth, MI
- Richa Patel
- Amber Clarise Peplinski, DPT
- Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04507)
- Laurel Petrevics, DPT
- Kimberly Dawn Pezo, PTA
- Frank Michael Piesko, DDS
- Ryan Christopher Piesko, DDS
- Elizabeth Marie Ping, DO
- Shanna Pitre, DC
- Powerback Rehabilitation LLC (Powerback Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.