Organization Active NPI

Malgorzata Pienkowski DDS LTD

  • Dentist
  • Niles, IL
National Provider Identifier
1386769305
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019025183 Issued in IL
Legal business name
MALGORZATA PIENKOWSKI DDS LTD
Practice address
8107 N Milwaukee Ave
Niles, IL 60714
Phone
(847) 470-8822
Fax
(847) 470-8823
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Malgorzata Pienkowski, DDS
Title
Dentist
Phone
(847) 470-8822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019025183 IL Primary

Addresses

Primary practice location

8107 N Milwaukee Ave
Niles, IL 60714

Mailing address

8107 N Milwaukee Ave
Niles, IL 60714
Phone (847) 470-8822

National Provider Directory

National Provider Directory

Locations

8107 N Milwaukee Ave
Niles, IL 60714
Phone (847) 470-8822

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1386769305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-470-8822",
            "fax_number": "847-470-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-470-8822",
            "fax_number": "847-470-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALGORZATA PIENKOWSKI DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "PIENKOWSKI",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-470-8822",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.