Benjamin John Czerniawski, DDS MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

13132 Issued in MI

Practice address

20323 Mack Avenue
Grosse Pointe Woods, MI 48236

Phone

(313) 881-0077

Fax

(313) 881-2561

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Ben J. Czerniawski, D.D.S., M.S., PLLC

  • Prosthodontics
  • Grosse Pointe Woods, MI
  • NPI 1942995972
  NPD Authorized official
• Michael Direzze, DDS, PLLC

  • General Practice Dentistry
  • Grosse Pointe Woods, MI
  • NPI 1598443483
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154420644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20323 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-881-0077",
            "fax_number": "313-881-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20323 MACK AVENUE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-881-0077",
            "fax_number": "313-881-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNIAWSKI",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "13132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Faye Crow, OTRL
• Alyssa Cullen
• E'Nyiah Elayh Cummings
• Ti'Aira M Curtis
• Andrea Nicole Cutright
• Mehdi Fouad Dabaja, OD
• Donya Dabiri
• Alyssa Dall, AT, ATC
• Olivia Dallaire
• Paul M Damlo, OD

• Prosthodontics in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Prosthodontics in Michigan

• 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.

Verify at the official NPI Registry.