Organization Active NPI

John J Mrozek DDS, PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1114482791
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN J MROZEK DDS, PC
Practice address
7017 W Archer Ave
Chicago, IL 60638-2201
Phone
(773) 229-1050
NPI assigned
Feb 7, 2019
Last updated
Feb 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Dr. John Joseph Mrozek, DDSNPI 1699866285
Title
Owner
Phone
(773) 229-1050

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

7017 W Archer Ave
Chicago, IL 60638-2201

Mailing address

7017 W Archer Ave
Chicago, IL 60638-2201
Phone (773) 229-1050

National Provider Directory

National Provider Directory

Locations

7017 W Archer Ave
Chicago, IL 60638
Phone (773) 229-1050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1114482791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J MROZEK DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "MROZEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-229-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.