Active NPI
Donna Marie Grzegorek, BS, RDH, PHDH
- Dental Hygienist
- Lake in the Hills, IL
National Provider Identifier
1649863309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020-004194
- Practice address
- 7 Pebble Beach CT
Lake in the Hills, IL 60156-4493 - Phone
- (847) 338-3235
- NPI assigned
- Feb 14, 2021
- Last updated
- Feb 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020-004194 | IL | Primary |
Addresses
Primary practice location
7 Pebble Beach CT
Lake in the Hills, IL 60156-4493
Mailing address
7 Pebble Beach CT
Lake in the Hills, IL 60156-4493
Phone (847) 338-3235
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020-004194 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613260800000",
"number": "1649863309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PEBBLE BEACH CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601564493",
"telephone_number": "847-338-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PEBBLE BEACH CT",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601564493",
"telephone_number": "847-338-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRZEGOREK",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "BS, RDH, PHDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-14",
"last_updated": "2021-02-14",
"certification_date": "2021-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020-004194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.