Active NPI
Prosniewski and Papa PC
- General Practice Dentistry
- Elmwood Park, IL
National Provider Identifier
1013248293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019018332
- Legal business name
- PROSNIEWSKI AND PAPA PC
- Practice address
- 7609 W Belmont Ave
Elmwood Park, IL 60707-1113 - Phone
- (708) 456-6882
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark James Prosniewski, DDS
- Title
- President
- Phone
- (708) 456-6882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019018332 | IL | Primary |
Addresses
Primary practice location
7609 W Belmont Ave
Elmwood Park, IL 60707-1113
Mailing address
7609 W Belmont Ave
Elmwood Park, IL 60707-1113
Phone (708) 456-6882
National Provider Directory
National Provider DirectoryLocations
7609 W Belmont Ave
Elmwood Park, IL 60707
Phone (708) 456-6882
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Elmwood Park, IL
- NPI 1215943543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1013248293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7609 W BELMONT AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607071113",
"telephone_number": "708-456-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7609 W BELMONT AVE",
"city": "ELMWOOD PARK",
"state": "IL",
"postal_code": "607071113",
"telephone_number": "708-456-6882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSNIEWSKI AND PAPA PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "PROSNIEWSKI",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-456-6882",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019018332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.