NPIMap

Organization Active NPI

James Malinowski DDS. David Sefcik DDS. LTD

  • General Practice Dentistry
  • Joliet, IL
National Provider Identifier
1679595243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAMES MALINOWSKI DDS. DAVID SEFCIK DDS. LTD
Practice address
903 129TH Infantry Dr
Suite 100
Joliet, IL 60435-3171
Phone
(815) 725-1605
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Joseph MalinowskiNPI 1003830019
Title
Treasurer
Phone
(815) 725-1605

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 IL Primary

Addresses

Primary practice location

903 129TH Infantry Dr
Suite 100
Joliet, IL 60435-3171

Mailing address

903 129TH Infantry Dr
Suite 100
Joliet, IL 60435-3171

National Provider Directory

National Provider Directory

Locations

903 N 129th Infantry Dr
Ste 100
Joliet, IL 60435
Phone (815) 725-1605

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679595243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-725-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MALINOWSKI DDS. DAVID SEFCIK DDS. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALINOWSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "815-725-1605",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.