Active NPI
Joseph H. Cieslak, DDS, PLLC
- Specialist
- Louisville, KY
National Provider Identifier
1215193974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64070386 | Medicaid | KY | |
| 1059670 | Other | KY | PASSPORT |
Other names 1
- Louisville Oral Surgery & Dental Implants
National Provider Directory
National Provider DirectoryLocations
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.