NPIMap

Organization Active NPI

Roman Marszalek D.D.S. Henryka Marszalek D.D.S.

  • Dentist
  • Chicago, IL
National Provider Identifier
1174835789
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019021941 Issued in IL
Legal business name
ROMAN MARSZALEK D.D.S. HENRYKA MARSZALEK D.D.S.
Practice address
5948 W Lawrence Ave
Chicago, IL 60630-3130
Phone
(773) 545-3789
Fax
(773) 545-1867
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Henryka MarszalekNPI 1043356918
Title
Corporation President
Phone
(773) 545-3789

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019021941 IL Primary

Addresses

Primary practice location

5948 W Lawrence Ave
Chicago, IL 60630-3130

Mailing address

5948 W Lawrence Ave
Chicago, IL 60630-3130
Phone (773) 545-3789

National Provider Directory

National Provider Directory

Locations

5948 W Lawrence Ave
Chicago, IL 60630
Phone (773) 545-3789

Practitioners & affiliated clinicians

Practitioners 3

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": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1174835789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303130",
            "telephone_number": "773-545-3789",
            "fax_number": "773-545-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303130",
            "telephone_number": "773-545-3789",
            "fax_number": "773-545-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN MARSZALEK D.D.S. HENRYKA MARSZALEK D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "MARSZALEK",
        "authorized_official_first_name": "HENRYKA",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "773-545-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021941",
            "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 12, 2010; 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.