Kenneth Michael Poleski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS038991 Issued in PA

Practice address

20000 Route 19
Suite 200
Cranberry Township, PA 16066-6215

Phone

(724) 776-7300

NPI assigned

Apr 11, 2011

Sex

Male

Sole proprietor

Yes

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 PA

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

State licenses

Practice roles

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.

• Poleski Family Dentistry, LLC

  • General Practice Dentistry
  • Jefferson Hills, PA
  • NPI 1609633676
  NPD Authorized official

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1205126240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-835-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 ROUTE 19",
            "address_2": "SUITE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666215",
            "telephone_number": "724-776-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESKI",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin E. Pierce, COTA
• Kenneth Pierson
• Helena Maria Pingree, MPT
• Pittsburgh Lifeftime Care Community
• Platinum Counseling LLC
• Ashley Pollick, DMD
• Ginny Porter
• Positive Behavior Support Corp.
• Michelle Post, MA, CCC-SLP
• Ashley Potts

• Dentist in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.