Individual provider Active NPI

Noah Luke Piskorski, DDS

  • Dentist
  • Ord, NE
National Provider Identifier
1437445723
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6961 Issued in NE
Practice address
1626 L St
Ord, NE 68862-0224
Phone
(308) 728-3756
Fax
(308) 728-3207
NPI assigned
Jun 24, 2011
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6961 NE Primary

Addresses

Primary practice location

1626 L St
Ord, NE 68862-0224

Mailing address

PO Box 224
1626 L St.
Ord, NE 68862-0224
Phone (308) 346-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150330000166 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6507183647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6961NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ord Cosmetic and Family Dentistry, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1437445723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "address_2": "1626 L ST.",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688620224",
            "telephone_number": "308-346-4988",
            "fax_number": "308-346-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 L ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688620224",
            "telephone_number": "308-728-3756",
            "fax_number": "308-728-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKORSKI",
        "first_name": "NOAH",
        "middle_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.