Organization Active NPI

MJK Dentistry LTD

Doing business as Lindenhurst Dental Arts

  • Dental Clinic/Center
  • Lindenhurst, IL
National Provider Identifier
1114637170
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MJK DENTISTRY LTD
Doing business as
Lindenhurst Dental Arts
Practice address
3065 Falling Waters Blvd
Lindenhurst, IL 60046-6793
Phone
(773) 678-2832
NPI assigned
Nov 30, 2022
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Malek KorkisNPI 1891233318
Title
President
Phone
(773) 678-2832

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

3065 Falling Waters Blvd
Lindenhurst, IL 60046-6793

Mailing address

3065 Falling Waters Blvd
Lindenhurst, IL 60046-6793

Other names 1

  • Lindenhurst Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

3065 Falling Waters Blvd
Lindenhurst, IL 60046
Phone (224) 643-4381

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1114637170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 FALLING WATERS BLVD",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 FALLING WATERS BLVD",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466793",
            "telephone_number": "773-678-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJK DENTISTRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "KORKIS",
        "authorized_official_first_name": "MALEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-678-2832",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindenhurst Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindenhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.