Individual provider Active NPI

Paulina N. Brzozowski-Sawicki, D.D.S.

  • General Practice Dentistry
  • Oak Brook, IL
National Provider Identifier
1104974633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
120 Oakbrook Ctr Ste 812
Oak Brook, IL 60523-4758
Phone
(630) 574-8383
Fax
(630) 574-2083
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

120 Oakbrook Ctr Ste 812
Oak Brook, IL 60523-4758

Mailing address

120 Oakbrook Ctr Ste 812
Oak Brook, IL 60523-4758
Phone (630) 574-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 23, 2015 through Sep 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.026455ILMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: pbrzozowskisawicki18506@direct.midwestern.edu

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104974633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR STE 812",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234758",
            "telephone_number": "630-574-8383",
            "fax_number": "630-574-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OAKBROOK CTR STE 812",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234758",
            "telephone_number": "630-574-8383",
            "fax_number": "630-574-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZOWSKI-SAWICKI",
        "first_name": "PAULINA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.