Active NPI
Karolina Mniszak, DMD
- Dentist
- Lemont, IL
National Provider Identifier
1053962274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019032198
- Practice address
- 14240 McCarthy Rd
Lemont, IL 60439-9393 - Phone
- (630) 914-1500
- NPI assigned
- Sep 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019032198 | IL | Primary |
Addresses
Primary practice location
14240 McCarthy Rd
Lemont, IL 60439-9393
Mailing address
287 Heritage Pkwy
Romeoville, IL 60446-4105
Other practice location 1
10033 S Roberts Rd
Palos Hills, IL 60465-5400
Phone (708) 233-8199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019032198 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Touch Dentistry, S.C. | Past | Accepting new patients | |
| Lemont Dental Clinic | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Palos Hills, IL
- NPI 1437486198
-
- Dentist
- Lemont, IL
- NPI 1972964005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569628800000",
"number": "1053962274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 HERITAGE PKWY",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "604464105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14240 MCCARTHY RD",
"city": "LEMONT",
"state": "IL",
"postal_code": "604399393",
"telephone_number": "630-914-1500"
}
],
"practiceLocations": [
{
"address_1": "10033 S Roberts Rd",
"address_purpose": "LOCATION",
"city": "Palos Hills",
"state": "IL",
"postal_code": "604655400",
"country_code": "US",
"telephone_number": "708-233-8199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MNISZAK",
"first_name": "KAROLINA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-28",
"last_updated": "2019-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019032198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.