Mitchell Allen Maczko, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

1112 E Central
Arlington HGTS, IL 60005

Phone

(847) 398-1334

Fax

(847) 398-3096

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maczko and Associates LTD

  • General Practice Dentistry
  • Arlington HGTS, IL
  • NPI 1194891036
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053487983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E CENTRAL",
            "city": "ARLINGTON HGTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-1334",
            "fax_number": "847-398-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E CENTRAL",
            "city": "ARLINGTON HGTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-1334",
            "fax_number": "847-398-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACZKO",
        "first_name": "MITCHELL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maczko and Associates LTD
• Karen P Meyer, ANP
• Ronald Lee Reichl, DDS

• Dentist in Arlington HGTS, IL
• Providers in Arlington HGTS, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.