Active NPI
Carolyn Jean Tomczyk, D.D.S.
- Dentist
- Arlington Heights, IL
National Provider Identifier
1669628244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019-021540
- Practice address
- 1300 E Central Rd
Suite D
Arlington Heights, IL 60005-2857 - Phone
- (847) 253-4626
- Fax
- (847) 253-4650
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019-021540 | IL | Primary |
| Dentist | 122300000X | 019-018490 | IL | |
| Dentist | 122300000X | 019-021669 | IL |
Addresses
Primary practice location
1300 E Central Rd
Suite D
Arlington Heights, IL 60005-2857
Mailing address
1300 E Central Rd
Suite D
Arlington Heights, IL 60005-2857
Phone (847) 253-4626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019-018490 | IL | MD | Dentist |
| 019-021540 | IL | MD | Dentist |
| 019-021669 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1669628244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E CENTRAL RD",
"address_2": "SUITE D",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052857",
"telephone_number": "847-253-4626",
"fax_number": "847-253-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 E CENTRAL RD",
"address_2": "SUITE D",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052857",
"telephone_number": "847-253-4626",
"fax_number": "847-253-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCZYK",
"first_name": "CAROLYN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-021540",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-018490",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019-021669",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.