Organization Active NPI

Dmitry D. Sokol, D.D.S., L.T.D.

  • General Practice Dentistry
  • Lincolnshire, IL
National Provider Identifier
1356464176
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DMITRY D. SOKOL, D.D.S., L.T.D.
Practice address
185 Milwaukee Ave
Suite 214
Lincolnshire, IL 60069-3010
Phone
(847) 634-3848
NPI assigned
Apr 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dmitry D. Sokol, D.D.S.NPI 1063676104
Title
Owner, President
Phone
(847) 634-3848

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 2

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

Addresses

Primary practice location

185 Milwaukee Ave
Suite 214
Lincolnshire, IL 60069-3010

Mailing address

185 Milwaukee Ave
Suite 214
Lincolnshire, IL 60069-3010
Phone (847) 634-3848

Other names 1

  • Village Green Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

185 Milwaukee Ave
Ste 214
Lincolnshire, IL 60069
Phone (847) 634-3848

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": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356464176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MILWAUKEE AVE",
            "address_2": "SUITE 214",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693010",
            "telephone_number": "847-634-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MILWAUKEE AVE",
            "address_2": "SUITE 214",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693010",
            "telephone_number": "847-634-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMITRY D. SOKOL, D.D.S., L.T.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOKOL",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "847-634-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Green Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.