Ryan Christopher Piesko, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17908 Issued in MI

Practice address

1025 W Genesee St
Frankenmuth, MI 48734-1302

Phone

(989) 652-6196

Fax

(989) 652-9021

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frankenmuth Family Dental Associates

  • General Practice Dentistry
  • Hemlock, MI
  • NPI 1407915846
  NPD (past)
• Piesko & Lennan DDS, PC

  • Dentist
  • Hemlock, MI
  • NPI 1396999264
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306055462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W GENESEE ST",
            "address_2": "PO BOX 206",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341302",
            "telephone_number": "989-652-6196",
            "fax_number": "989-652-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W GENESEE ST",
            "city": "FRANKENMUTH",
            "state": "MI",
            "postal_code": "487341302",
            "telephone_number": "989-652-6196",
            "fax_number": "989-652-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIESKO",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "17908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04507)
• Laurel Petrevics, DPT
• Kimberly Dawn Pezo, PTA
• Frank Matthew Piesko, DDS
• Frank Michael Piesko, DDS
• Elizabeth Marie Ping, DO
• Shanna Pitre, DC
• Powerback Rehabilitation LLC (Powerback Rehabilitation)
• Catherine Prechowski, MACCC-SLP
• Ryan Allen Quaderer, FNP-BC

• Dentist in Frankenmuth, MI
• Providers in Frankenmuth, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.