Organization Active NPI

Jeffrey Seredynski, DMD, PC

  • Dental Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1033876594
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JEFFREY SEREDYNSKI, DMD, PC
Practice address
121 S Wilke Rd Ste 120
Arlington Heights, IL 60005-1524
Phone
(847) 392-2141
NPI assigned
Nov 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Dr. Jeffrey Seredynski, DMDNPI 1033593546
Title
Owner/Dentist
Phone
(847) 392-2141

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

121 S Wilke Rd Ste 120
Arlington Heights, IL 60005-1524

Mailing address

121 S Wilke Rd Ste 120
Arlington Heights, IL 60005-1524
Phone (847) 392-2141

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey Seredynski DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 S Wilke Rd
Ste 120
Arlington Heights, IL 60005
Phone (847) 392-2141

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": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1033876594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 120",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051524",
            "telephone_number": "847-392-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 120",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051524",
            "telephone_number": "847-392-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SEREDYNSKI, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "SEREDYNSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "847-392-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.