Organization Active NPI

Krzysztof Augustyn Dental Care

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1508907544
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-024850 Issued in IL
Legal business name
KRZYSZTOF AUGUSTYN DENTAL CARE
Practice address
6033 W Belmont Ave
Chicago, IL 60634-5116
Phone
(773) 237-9373
Fax
(773) 237-9398
NPI assigned
Feb 11, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Krzysztof AugustynNPI 1487823282
Title
DDS
Phone
(773) 237-9373

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 019-024850 IL Primary

Addresses

Primary practice location

6033 W Belmont Ave
Chicago, IL 60634-5116

Mailing address

6033 W Belmont Ave
Chicago, IL 60634-5116
Phone (773) 237-9373

National Provider Directory

National Provider Directory

Locations

6033 W Belmont Ave
Chicago, IL 60634
Phone (773) 237-9373

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1508907544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345116",
            "telephone_number": "773-237-9373",
            "fax_number": "773-237-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345116",
            "telephone_number": "773-237-9373",
            "fax_number": "773-237-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRZYSZTOF AUGUSTYN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "AUGUSTYN",
        "authorized_official_first_name": "KRZYSZTOF",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "773-237-9373",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-024850",
            "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 Mar 10, 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.