NPIMap

Organization Active NPI

Dr. Kmieck's Dental Health Service Inc

  • Dentist
  • Parma Heights, OH
National Provider Identifier
1649583857
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS030029L Issued in PA
Legal business name
DR. KMIECK'S DENTAL HEALTH SERVICE INC
Practice address
7057 W 130TH St
Parma Heights, OH 44130-7841
Phone
(440) 888-9755
Fax
(440) 888-8763
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. KMIECK'S DENTAL HEALTH SERVICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Dr. Kenneth Thomas Kmieck, DDSNPI 1982793766
Title
President
Phone
(440) 888-9755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS030029L PA Primary

Addresses

Primary practice location

7057 W 130TH St
Parma Heights, OH 44130-7841

Mailing address

7057 W 130TH St
Parma Heights, OH 44130-7841
Phone (440) 888-9755

Other identifiers 1

IdentifierTypeStateIssuer
0467990MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Dr Kmiecks Dental Health Service2 organizations share this tax ID, including this one
Part of
Dr Kmiecks Dental Health Service

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1649583857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307841",
            "telephone_number": "440-888-9755",
            "fax_number": "440-888-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307841",
            "telephone_number": "440-888-9755",
            "fax_number": "440-888-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KMIECK'S DENTAL HEALTH SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. KMIECK'S DENTAL HEALTH SERVICE INC",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "KMIECK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-888-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030029L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467990",
            "state": "OH"
        }
    ],
    "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 Jul 16, 2010; 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.