Organization Active NPI

Prosniewski and Papa PC

  • General Practice Dentistry
  • Elmwood Park, IL
National Provider Identifier
1013248293
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019018332 Issued in IL
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

Updated by the provider on Jan 27, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.