Individual provider Active NPI

Monika Helena Tyszkowski, DDS

  • General Practice Dentistry
  • Lombard, IL
National Provider Identifier
1598923385
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.025140 Issued in IL
Practice address
845 S Main St Ste 201
Lombard, IL 60148-3350
Phone
(630) 376-6176
Fax
(630) 519-4184
NPI assigned
May 28, 2008
Last updated
May 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.025140 IL Primary

Addresses

Primary practice location

845 S Main St Ste 201
Lombard, IL 60148-3350

Mailing address

845 S Main St Ste 201
Lombard, IL 60148-3350
Phone (306) 376-6176

Other practice location 1

6825 W Addison St
Chicago, IL 60634-3702
Phone (773) 736-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.025140ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glamour Dental Care, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1598923385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 201",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483350",
            "telephone_number": "306-376-6176",
            "fax_number": "305-194-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MAIN ST STE 201",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601483350",
            "telephone_number": "630-376-6176",
            "fax_number": "630-519-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6825 W Addison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606343702",
            "country_code": "US",
            "telephone_number": "773-736-6610",
            "fax_number": "773-736-6614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSZKOWSKI",
        "first_name": "MONIKA",
        "middle_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.025140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.