Zieba Dentistry Lincoln Square LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ZIEBA DENTISTRY LINCOLN SQUARE LTD.

Doing business as

Cornerstone Dental of Lincoln Square

Practice address

2328 W Foster Ave
Chicago, IL 60625-1826

Phone

(773) 654-3575

NPI assigned

Oct 22, 2018

Last updated

Oct 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Gregoire

Title

Manager

Phone

(847) 727-4077

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Dental of Lincoln Square Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Andrew Zieba, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1578781647

  General Practice

  NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1407322043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251826",
            "telephone_number": "737-654-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251826",
            "telephone_number": "773-654-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIEBA DENTISTRY LINCOLN SQUARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "GREGOIRE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-727-4077"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental of Lincoln Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Zich, MD
• Joyce E Zick, LCSW
• Jennifer Zickert, CCCA
• Albert Zickmann, DDS
• John Zidek, LCSW
• Mark Andrew Zieba, D.D.S.
• Nicole Zieba
• Sonnet Elizabeth Ziegahn, CRNA
• Tersha Ziegenbein
• Margaret Gillian Ziegenfuss

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.