Krystyna Wagenhejm Ciesielski DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

019024460 Issued in IL

Legal business name

KRYSTYNA WAGENHEJM CIESIELSKI DDS PC

Practice address

7900 N Milwaukee Ave
Ste 2-21B
Niles, IL 60714-3159

Phone

(847) 581-9400

Fax

(847) 581-9044

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Krystyna Wagenehjm-Ciesielski, DDS

Title

President

Phone

(847) 581-9400

Specialties & licenses 3

Addresses

Other names 1

• OMDENT Other name

Locations

Practitioners 1

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

• Krystyna Wagenhejm-Ciesielski

  • General Practice Dentistry
  • Niles, IL
  • NPI 1821482001
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1114090750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "STE 2-21B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-581-9400",
            "fax_number": "847-581-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "STE 2-21B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-581-9400",
            "fax_number": "847-581-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTYNA WAGENHEJM CIESIELSKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WAGENEHJM-CIESIELSKI",
        "authorized_official_first_name": "KRYSTYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-581-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024460",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002182",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021001519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMDENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dean Kravis, MD
• Heidel Kropp, M.S., CF-SLP
• Katarina Krstic, RD
• Richard Charles Kruger, DDS
• Mariola Krupa, PHARMD
• Abraham Kuruvilla, M.D.
• Henry Kurzydlowski, M.D.
• Nichole Kussmann, MA, CCC-SLP
• Lauren Melina Kuta, PHARMD
• Justin Timothy Kwan, O.D.

• Dentist in Niles, IL
• Providers in Niles, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.