Jacek T Ziemski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9068 Issued in CT

Practice address

165 Huntington Rd
Stratford, CT 06614-4008

Phone

(203) 516-2006

NPI assigned

Jun 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Smile Makers, LLC

  • General Practice Dentistry
  • Stamford, CT
  • NPI 1316184633
  NPD (past) Authorized official

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1881696938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 HUNTINGTON RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144008",
            "telephone_number": "203-516-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HUNTINGTON RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144008",
            "telephone_number": "203-516-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMSKI",
        "first_name": "JACEK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9068",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "49611",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yu, PHARMD
• Mark Lee Zamat, D.D.S
• Kelly Marie Zando, LMSW
• Margaret E Ziegler, APRN
• Elaine Zielinski, R.PH.
• Krystyna Zietkiewicz, DDS
• Johna D. Zitnay, DMD
• Zuri & Brothers Medical Equipment Rental
• Howard E Zusman, M.D.

• General Practice Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.