Agnieszka Iwaszczyszyn DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019030692 Issued in IL

Legal business name

AGNIESZKA IWASZCZYSZYN DMD PC

Practice address

728 W Northwest Hwy
Barrington, IL 60010-2640

Phone

(847) 865-4278

NPI assigned

Aug 9, 2018

Organization subpart

No

Name

Dr. Agnieszka Iwaszczyszyn, DMDNPI 1821441312

Title

President

Phone

(708) 291-0354

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Agnieszka Iwaszczyszyn, DMD

  • Dentist
  • La Grange, IL
  • NPI 1821441312
  NPD Authorized official
• Paulina Wisniewska, DMD

  • General Practice Dentistry
  • Barrington, IL
  • NPI 1275265860
  NPD (past)

Locations

• Hart Dental Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2018.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1124507256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 LESLIE CT APT 201",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168817",
            "telephone_number": "708-291-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 W NORTHWEST HWY",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102640",
            "telephone_number": "847-865-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNIESZKA IWASZCZYSZYN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "IWASZCZYSZYN",
        "authorized_official_first_name": "AGNIESZKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-291-0354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019030692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821441312",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert R Albrecht, MD
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• All providers in Barrington, IL
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.