Celeste Kostelnik, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS036640 Issued in PA

Practice address

1205 Broadway
Lorain, OH 44052-3409

Phone

(440) 240-1655

Fax

(440) 240-1663

NPI assigned

Sep 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: celeste.kostelnik.p11@direct.loraincountyhealth.nextgenshare.com
• Direct secure messaging: celeste.koselnikdmd.p1@direct.commhealthclinic.nextgenshare.com

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518058684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PROGRESS DR",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708082",
            "telephone_number": "724-825-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BROADWAY",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440523409",
            "telephone_number": "440-240-1655",
            "fax_number": "440-240-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTELNIK",
        "first_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036640",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Maria Konyesni, PA-C
• Elizabeth Grace Kordeleski, RN
• Kaitlyn Korn
• Jerry J Kosco
• Jeffrey J Kosiba, CDCA
• Manjula Kottapalli, MD
• Amy Lynn Koutsopoulos
• Lawrence M Kovalcik, PA-C
• Carrie A. Kozak-Hietala, LISW
• Catherine Koziarz

• Dentist in Lorain, OH
• Providers in Lorain, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.