NPIMap

Organization Active NPI

Oz Park Family Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1376956847
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019024541 Issued in IL
Legal business name
OZ PARK FAMILY DENTAL
Practice address
2215 N Lincoln Ave
Chicago, IL 60614-3717
Phone
(773) 871-3393
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Tiffany Jozwiak, DDS
Title
Owner
Phone
(773) 871-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019024541 IL Primary

Addresses

Primary practice location

2215 N Lincoln Ave
Chicago, IL 60614-3717

Mailing address

2215 N Lincoln Ave
Chicago, IL 60614-3717
Phone (773) 871-3393

National Provider Directory

National Provider Directory

Locations

2215 N Lincoln Ave
Chicago, IL 60614
Phone (773) 871-3393

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": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1376956847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143717",
            "telephone_number": "773-871-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143717",
            "telephone_number": "773-871-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZ PARK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "JOZWIAK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-871-3393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.