Organization Active NPI

Kenneth J. Wolnik, DDS Inc

  • General Practice Dentistry
  • Parma Heights, OH
National Provider Identifier
1497967822
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21692 Issued in OH
Legal business name
KENNETH J. WOLNIK, DDS INC
Practice address
6363 York Rd
Suite 202
Parma Heights, OH 44130-3031
Phone
(440) 888-5055
Fax
(440) 888-0249
NPI assigned
May 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Kenneth J Wolnik II, D.D.S.NPI 1780896118
Title
President
Phone
(440) 888-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21692 OH Primary

Addresses

Primary practice location

6363 York Rd
Suite 202
Parma Heights, OH 44130-3031

Mailing address

6363 York Rd
Suite 202
Parma Heights, OH 44130-3031
Phone (440) 888-5055

National Provider Directory

National Provider Directory

Locations

6363 York Rd
Ste 202
Parma Heights, OH 44130
Phone (440) 888-5055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1497967822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 YORK RD",
            "address_2": "SUITE 202",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-888-5055",
            "fax_number": "440-888-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 YORK RD",
            "address_2": "SUITE 202",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-888-5055",
            "fax_number": "440-888-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. WOLNIK, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-06",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "WOLNIK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-888-5055",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.