NPIMap

Organization Active NPI

Sparkling Dental Care P.C.

  • General Practice Dentistry
  • Villa Park, IL
National Provider Identifier
1356417240
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019022734 Issued in IL
Legal business name
SPARKLING DENTAL CARE P.C.
Practice address
401 E North Ave
Suite 9
Villa Park, IL 60181-1218
Phone
(630) 530-4949
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Michael Joseph Lebiecki, DMD DDSNPI 1750746251
Title
Pres Owner
Phone
(630) 530-4949

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 019022734 IL Primary

Addresses

Primary practice location

401 E North Ave
Suite 9
Villa Park, IL 60181-1218

Mailing address

566 N Ellsworth Ave
Addison, IL 60101-2917
Phone (630) 279-9000

National Provider Directory

National Provider Directory

Locations

401 E North Ave
Ste 9
Villa Park, IL 60181
Phone (630) 530-4949

Practitioners & affiliated clinicians

Practitioners 1

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": "1355961600000",
    "number": "1356417240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 N ELLSWORTH AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012917",
            "telephone_number": "630-279-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E NORTH AVE",
            "address_2": "SUITE 9",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601811218",
            "telephone_number": "630-530-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "LEBIECKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "630-530-4949",
        "authorized_official_credential": "DMD DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.