NPIMap

Organization Active NPI

Kathy Pawlusiewicz DDS. Dba Prospect Dental

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1265922355
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019026158 Issued in IL
Legal business name
KATHY PAWLUSIEWICZ DDS. DBA PROSPECT DENTAL
Practice address
1120 E. Central Rd.
Arlington Heights, IL 60005
Phone
(847) 890-4444
Fax
(847) 506-0148
NPI assigned
May 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Authorized official

Name
Ms. Izabela Towalska
Title
Office Manager
Phone
(847) 890-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019026158 IL Primary

Addresses

Primary practice location

1120 E. Central Rd.
Arlington Heights, IL 60005

Mailing address

1120 E. Central Rd.
Arlington Heights, IL 60005
Phone (847) 890-4444

Other names 1

  • Prospect Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kathy Pawlksienica DDS PC Dba Prospect Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1265922355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E. CENTRAL RD.",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-890-4444",
            "fax_number": "847-506-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E. CENTRAL RD.",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-890-4444",
            "fax_number": "847-506-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY PAWLUSIEWICZ DDS. DBA PROSPECT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "TOWALSKA",
        "authorized_official_first_name": "IZABELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-890-4444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.