NPIMap

Organization Active NPI

Sonrisa Dental on Ashland

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1144638560
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SONRISA DENTAL ON ASHLAND
Practice address
1713 S Ashland Ave
Chicago, IL 60608-2014
Phone
(630) 730-3233
Fax
(773) 484-1205
NPI assigned
Jul 29, 2014
Organization subpart
Yes
Parent organization
SONRISA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Mary Lukaszczyk
Title
Chief Operating Officer
Phone
(630) 730-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1713 S Ashland Ave
Chicago, IL 60608-2014

Mailing address

1713 S Ashland Ave
Chicago, IL 60608-2014
Phone (630) 730-3233

National Provider Directory

National Provider Directory
Tax ID family
Sonrisa Dental on Ashland6 organizations share this tax ID, including this one
Part of
Sonrisa Dental on Ashland

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1144638560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082014",
            "telephone_number": "630-730-3233",
            "fax_number": "773-484-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082014",
            "telephone_number": "630-730-3233",
            "fax_number": "773-484-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA DENTAL ON ASHLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONRISA DENTAL PC",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "LUKASZCZYK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-730-3233",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "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 Jul 29, 2014; 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.