NPIMap

Organization Active NPI

Ajk Dental Care PC

  • Dentist
  • Arlington HTS, IL
National Provider Identifier
1013077288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AJK DENTAL CARE PC
Practice address
3233 Arlington HTS Rd
Suite #101
Arlington HTS, IL 60004
Phone
(847) 222-0003
Fax
(847) 222-0006
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Agnieszka Knobloch, DMDNPI 1790959260
Title
Doctor
Phone
(847) 222-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X IL Primary

Addresses

Primary practice location

3233 Arlington HTS Rd
Suite #101
Arlington HTS, IL 60004

Mailing address

3233 Arlington HTS Rd
Suite #101
Arlington HTS, IL 60004
Phone (847) 222-0003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013077288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 ARLINGTON HTS RD",
            "address_2": "SUITE #101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-222-0003",
            "fax_number": "847-222-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 ARLINGTON HTS RD",
            "address_2": "SUITE #101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-222-0003",
            "fax_number": "847-222-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJK DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOBLOCH",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-222-0003",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.