Northshore Center for Sleep Dentistry, LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017944 Issued in IL

Legal business name

NORTHSHORE CENTER FOR SLEEP DENTISTRY, LTD

Practice address

6314 N Lincoln Ave
Chicago, IL 60659-1204

Phone

(773) 509-0029

Fax

(773) 509-0733

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Paul Saniuk, D.D.S.

Title

President

Phone

(773) 509-0029

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1013313907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-509-0029",
            "fax_number": "773-509-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-509-0029",
            "fax_number": "773-509-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE CENTER FOR SLEEP DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "SANIUK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-509-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DENTIST",
            "identifier": "019017944",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1073655213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northriver MHC
• Pamela Weiner Northrop, MA LCSW
• Tiffany Northrop, OTR/L M.A.
• Edward Nicholas Northrup, MD
• Northshore
• Northshore Clinical Laboratories Inc
• Northshore Health Partners LTD
• Northshore Home Health Corp.
• Northshore Imaging Company
• Northshore Medical Laboratory

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.