Krystyna Wagenhejm-Ciesielski

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.024460 Issued in IL

Practice address

7900 N Milwaukee Ave
Ste 2-21B
Niles, IL 60714-3159

Phone

(847) 581-9400

Fax

(847) 581-9044

NPI assigned

Mar 25, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Krystyna Wagenhejm Ciesielski DDS PC

  • Dentist
  • Niles, IL
  • NPI 1114090750
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1821482001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "STE 2-21B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-581-9400",
            "fax_number": "847-581-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N MILWAUKEE AVE",
            "address_2": "STE 2-21B",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143159",
            "telephone_number": "847-581-9400",
            "fax_number": "847-581-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENHEJM-CIESIELSKI",
        "first_name": "KRYSTYNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.024460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vision Centers of America
• Visionworks Inc
• Visionworks, Inc.
• Vital Link Physician Group PLLC
• Jill Marie Waegenaere, M.A.
• Lida Wagner, LCSW
• Wilford Tyrel Wagner, H.I.S
• Bethany Wagreich, M.A., CCC-SLP
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc.

• All providers in Niles, IL
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.