Organization Active NPI

Oleynik, DMD, LLC

  • General Practice Dentistry
  • Shelton, CT
National Provider Identifier
1174799803
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6509 Issued in CT
Legal business name
OLEYNIK, DMD, LLC
Practice address
74 Wooster St
Shelton, CT 06484-6055
Phone
(203) 924-4731
Fax
(203) 924-0516
NPI assigned
May 2, 2008
Last updated
Feb 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Dr. Kenneth F. Oleynik, DMDNPI 1598931818
Title
Owner
Phone
(203) 924-4731

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
General Practice Dentistry 1223G0001X 6509 CT Primary

Addresses

Primary practice location

74 Wooster St
Shelton, CT 06484-6055

Mailing address

74 Wooster St
Shelton, CT 06484-6055
Phone (203) 924-4731

National Provider Directory

National Provider Directory

Locations

74 Wooster St
Shelton, CT 06484
Phone (203) 924-4731

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1174799803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WOOSTER ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846055",
            "telephone_number": "203-924-4731",
            "fax_number": "203-924-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WOOSTER ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846055",
            "telephone_number": "203-924-4731",
            "fax_number": "203-924-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEYNIK, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "OLEYNIK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-924-4731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.