Individual provider Active NPI

Monica Kalinowski, D.D.S

  • Dentist
  • Schaumburg, IL
National Provider Identifier
1003223884
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.029868 Issued in IL
Practice address
1752 W Wise Rd
Schaumburg, IL 60193-3524
Phone
(847) 301-7950
Fax
(847) 301-0560
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.029868 IL Primary

Addresses

Primary practice location

1752 W Wise Rd
Schaumburg, IL 60193-3524

Mailing address

1752 W Wise Rd
Schaumburg, IL 60193-3524
Phone (847) 301-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.029868ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MW Dental Care PC Current Accepting new patients
Today'S Family Dentistry Dentist Past Accepting new patients
Crystal Dental Clinic, LTD. PastSince Jul 17, 2021 Accepting new patients

Networks

  • IL HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1003223884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933524",
            "telephone_number": "847-301-7950",
            "fax_number": "847-301-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933524",
            "telephone_number": "847-301-7950",
            "fax_number": "847-301-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINOWSKI",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.