Celeste L Medynskyj, DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

License

019027913 Issued in IL

Legal business name

CELESTE L MEDYNSKYJ, DDS LTD

Practice address

1600 W Dempster St
LL1
Park Ridge, IL 60068

Phone

(847) 699-4000

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Celeste L Medynskyj, DDS

Title

Chief Officer

Phone

(708) 453-0793

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Eunyoung Park, D.D.S.

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1134398035
  NPD (past)
• Connie Woo, DMD

  • Dentist
  • Park Ridge, IL
  • NPI 1457977753
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1275833394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 N 74TH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "708-453-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W DEMPSTER ST",
            "address_2": "LL1",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-699-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE L MEDYNSKYJ, DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "MEDYNSKYJ",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "708-453-0793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891921177",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocco Giovanni Catrone, BCBA
• Benjamin David Catt, DO
• Brittany Caudill, NNP-BC
• Cleo Caudillo, LMFT
• Jamie Marie Cavaliero, PSY.D.
• Center for Advanced Cardiology,LTD
• Center for Authentic Living
• Center for Authentic Living, Inc.
• Center for Behavioral Health & Wellness, LLC
• Center for Childrens Digestive Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.