Organization Active NPI

Joseph H. Cieslak, DDS, PLLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1215193974
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
7038
Legal business name
JOSEPH H. CIESLAK, DDS, PLLC
Doing business as
Louisville Oral Surgery & Dental Implants
Practice address
5906 Bardstown Rd
Louisville, KY 40291-1935
Phone
(502) 231-2230
Fax
(502) 231-3443
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Joseph H Cieslak, DDS
Title
Owner
Phone
(502) 231-2230

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 7038 Primary
Customized Equipment (DME) 332BC3200X 7038 KY

Addresses

Primary practice location

5906 Bardstown Rd
Louisville, KY 40291-1935

Mailing address

5906 Bardstown Rd
Louisville, KY 40291-1935
Phone (502) 231-2230

Other identifiers 2

IdentifierTypeStateIssuer
64070386MedicaidKY
1059670OtherKYPASSPORT

Other names 1

  • Louisville Oral Surgery & Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

5906 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-2230

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1215193974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5906 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911935",
            "telephone_number": "502-231-2230",
            "fax_number": "502-231-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402911935",
            "telephone_number": "502-231-2230",
            "fax_number": "502-231-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH H. CIESLAK, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "CIESLAK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-231-2230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "7038",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": "7038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64070386",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1059670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.