Active NPI
Joseph H. Cieslak DDS, PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
National Provider Identifier
1245481175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 585
- Legal business name
- JOSEPH H. CIESLAK DDS, PLLC
- Doing business as
- Louisville Oral Surgery & Dental Implants
- Practice address
- 6501 Dixie Hwy
Louisville, KY 40258-3907 - Phone
- (502) 937-2500
- NPI assigned
- Oct 9, 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
- Joseph Harold Cieslak, DDS
- Title
- Owner
- Phone
- (502) 939-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 585 | KY | Primary |
Addresses
Primary practice location
6501 Dixie Hwy
Louisville, KY 40258-3907
Mailing address
6501 Dixie Hwy
Louisville, KY 40258-3907
Phone (502) 937-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74070386 | Medicaid | KY |
Other names 1
- Louisville Oral Surgery & Dental Implants
National Provider Directory
National Provider DirectoryLocations
6501 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-2500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Louisville, KY
- NPI 1487646139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1245481175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583907",
"telephone_number": "502-937-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 DIXIE HWY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402583907",
"telephone_number": "502-937-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH H. CIESLAK DDS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "CIESLAK",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "HAROLD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-939-2500",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KY",
"license": "585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74070386",
"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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.