Organization Active NPI

Maczko and Associates LTD

  • General Practice Dentistry
  • Arlington HGTS, IL
National Provider Identifier
1194891036
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MACZKO AND ASSOCIATES LTD
Practice address
1112 E Central
Arlington HGTS, IL 60005
Phone
(847) 398-1334
Fax
(847) 398-3096
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Mitchell Allen Maczko, DMDNPI 1053487983
Title
President
Phone
(847) 398-1334

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

1112 E Central
Arlington HGTS, IL 60005

Mailing address

1112 E Central
Arlington HGTS, IL 60005
Phone (847) 398-1334

National Provider Directory

National Provider Directory

Locations

1112 E Central Rd
Arlington Heights, IL 60005
Phone (847) 398-1334

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1194891036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E CENTRAL",
            "city": "ARLINGTON HGTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-1334",
            "fax_number": "847-398-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E CENTRAL",
            "city": "ARLINGTON HGTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-398-1334",
            "fax_number": "847-398-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACZKO AND ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "MACZKO",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-398-1334",
        "authorized_official_credential": "DMD"
    },
    "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 Arlington HGTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.