Individual provider Active NPI

Joseph A. Ciesielski

  • Dentist
  • Raleigh, NC
National Provider Identifier
1205273760
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9515 Issued in NC
Practice address
8961 Harvest Oaks Dr
Raleigh, NC 27615-2139
Phone
(919) 676-7777
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9515 NC Primary

Addresses

Primary practice location

8961 Harvest Oaks Dr
Raleigh, NC 27615-2139

Mailing address

8961 Harvest Oaks Dr
Raleigh, NC 27615-2139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160531001851 NC Order and Referring Only - DentistPractitioner - Dentist 8921398132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9515NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates XI, DDS PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1205273760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8961 HARVEST OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8961 HARVEST OAKS DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152139",
            "telephone_number": "919-676-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESIELSKI",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.