NPIMap

Organization Active NPI

Dr. Staci Sikora and Associates

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1174827042
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR. STACI SIKORA AND ASSOCIATES
Practice address
111 W Jackson Blvd Ste 1410
Chicago, IL 60604-3867
Phone
(312) 939-2400
Fax
(312) 987-1535
NPI assigned
Jan 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Staci Caryn Sikora, DDSNPI 1023225919
Title
Dentist/Owner
Phone
(313) 939-2400

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 W Jackson Blvd Ste 1410
Chicago, IL 60604-3867

Mailing address

111 W Jackson Blvd Ste 1410
Chicago, IL 60604-3867
Phone (312) 939-2400

National Provider Directory

National Provider Directory

Locations

141 W Jackson Blvd
Ste 3632
Chicago, IL 60604
Phone (312) 939-2400

111 W Jackson Blvd
Ste 1410
Chicago, IL 60604
Phone (312) 939-2400

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1174827042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JACKSON BLVD STE 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043867",
            "telephone_number": "312-939-2400",
            "fax_number": "312-987-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON BLVD STE 1410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043867",
            "telephone_number": "312-939-2400",
            "fax_number": "312-987-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STACI SIKORA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "SIKORA",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "CARYN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "313-939-2400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Sep 17, 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.