Tom L. Baranowski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019022265 Issued in IL

Legal business name

TOM L. BARANOWSKI, D.D.S.

Practice address

1011 Lake St Ste 410
Oak Park, IL 60301-1129

Phone

(708) 386-7740

NPI assigned

Jun 16, 2014

Last updated

Jun 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tom L. Baranowski, D.D.S.

Title

Doctor

Phone

(708) 386-7740

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Lawrence Baranowski, DDS

  • Dentist
  • Oak Park, IL
  • NPI 1689752768
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1184038358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 410",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011129",
            "telephone_number": "708-386-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 410",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011129",
            "telephone_number": "708-386-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM L. BARANOWSKI, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "BARANOWSKI",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "708-386-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019022265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.