Individual provider Active NPI

Alexander Brooks Stokowski

  • General Practice Dentistry
  • Aurora, IL
National Provider Identifier
1164942850
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019031161 Issued in IL
Practice address
2343 Waterbury Cir
Aurora, IL 60504-3253
Phone
(630) 585-7588
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 019031161 IL Primary

Addresses

Primary practice location

2343 Waterbury Cir
Aurora, IL 60504-3253

Mailing address

2343 Waterbury Cir
Aurora, IL 60504-3253
Phone (630) 585-7588

Other practice location 1

1912 W Wilson St
Batavia, IL 60510-2794
Phone (630) 482-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019031161ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164942850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2343 WATERBURY CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043253",
            "telephone_number": "630-585-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2343 WATERBURY CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043253",
            "telephone_number": "630-585-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 W Wilson St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605102794",
            "country_code": "US",
            "telephone_number": "630-482-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOKOWSKI",
        "first_name": "ALEXANDER",
        "middle_name": "BROOKS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019031161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.