Sonrisa CCHC Capitation LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SONRISA CCHC CAPITATION LLC

Practice address

9718 S Halsted St
Chicago, IL 60628-1007

Phone

(872) 703-3032

Fax

(312) 893-2275

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Jason K Korkus, DDS

Title

Owner/President

Phone

(312) 722-6460

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1053988204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S MORGAN ST STE 207-208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091533",
            "telephone_number": "312-722-6460",
            "fax_number": "312-893-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "872-703-3032",
            "fax_number": "312-893-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA CCHC CAPITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "KORKUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-722-6460",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sfdchicago.com",
            "affiliation": "N",
            "address_1": "9718 S Halsted St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606281007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Kaylor Sonnenburg, NP
• John Hayden Sonnier, MD
• Sonrisa Capitation CCHC Professional Corporation Sonrisa Family Dental
• Sonrisa Capitation Esperanza Professional Corporation
• Sonrisa Capitation LLC
• Sonrisa Dental Little Village 26TH
• Sonrisa Dental on Ashland
• Sonrisa Dental PC
• Sonrisa Dental PC on Archer
• Sonrisa Esperanza Capitation LLC

• 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 Jun 7, 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.