DR KMIECKS DENTAL HEALTH SERVICE (NPI# 1699877597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699877597 |
| Entity Type | Organization |
| Organization Name | DR KMIECKS DENTAL HEALTH SERVICE |
| Practice Address |
7057 W 130 Street Parma Heights OH 44130 |
| Practice Telephone | 4408889755 |
| Practice Fax Number | 4408888763 |
| Mailing Telephone | 4408889755 |
| Mailing Fax Number | 4408888763 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH T KMIECK (OWNER PRESIDENT) |
| Authorized Official Telephone | 4408889755 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0281770 | 05 |
| Street Address |
7057 W 130 STREET |
| City | PARMA HEIGHTS |
| State | OH |
| Zip Code | 44130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114367075 | Jordan M Job | Dentist | 6929 W 130th St Ste 600, Parma Heights, OH 44130-7878 | 2013-06-25 |
| 1548426893 | Rula Ibrahim Rabady | Dentist | 9230 Independence Blvd, Apt 110, Parma Heights, OH 44130-4779 | 2008-08-05 |
| 1124291257 | Gary L Charvat Dds Inc | Dentist | 6285 Pearl Rd Ste 36, Parma Heights, OH 44130-3069 | 2008-04-09 |
| 1225176225 | Charles Nunzio Cicero | Dentist | 6659 Pearl Rd Ste 403, Parma Heights, OH 44130-3842 | 2007-02-02 |
| 1821160557 | Anthony J. Petro | Dentist | 6659 Pearl Rd, Suite 403, Parma Heights, OH 44130-3821 | 2006-11-15 |
| 1972601276 | Kimberly R Stopar Worton | Dentist | 6363 York Road, Suite 203, Parma Heights, OH 44130-3031 | 2006-09-20 |
| 1144322140 | Rebecca Gayle Swertloff | Dentist | 7057 W 130 St, Parma Heights, OH 44130 | 2006-09-01 |
| 1447275177 | Majdi I Alrabady | Dentist | 6390 York Rd, Parma Heights, OH 44130-3028 | 2006-07-13 |
| 1831133230 | Lleonard Michael Tomsik | Dentist | 6500 Pearl Rd, Suite 100, Parma Heights, OH 44130-3813 | 2006-06-15 |
| 1669425930 | Barry Richard Jaffe | Dentist | 6285 Pearl Rd, Suite 11, Parma Heights, OH 44130-3070 | 2006-05-18 |
| Find all providers in PARMA HEIGHTS | ||||
| City | PARMA HEIGHTS |
| Zip Code | 44130 |
Please comment or provide details below to improve the information on DR KMIECKS DENTAL HEALTH SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.