Paul J Poncza, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

9933 Lawler Ave Ste 340
Skokie, IL 60077-3773

Phone

(847) 677-2808

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

University of Detroit Mercy School of Dentistry, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Smile on of North Shore, PC

  • Customized Equipment (DME)
  • Deerfield, IL
  • NPI 1891264644

  General Practice

  Medicare reassignment NPD Authorized official
• Paul Poncza DDS PC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1275829509
  Medicare reassignment Authorized official
• David B. Schwartz DDS LTD

  • General Practice Dentistry
  • Skokie, IL
  • NPI 1578642369
  NPD (past)
• Wendy Shorr

  dba Wendy Shorr DDS

  • Dentist
  • Skokie, IL
  • NPI 1841661931
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679652382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-677-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773773",
            "telephone_number": "847-677-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCZA",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Pollack, LCSW
• Alan C Pollak, MD
• Raymond Pollak, M.D.
• Abby Lynn Polonsky, LCPC
• Jonathan Pomerantz, M.D.
• Rashna Adil Pooniwala, PT
• Sara Pop, RN, IBCLC
• Rosalia Porcelli, DO
• Tama Porter, MD
• Laura Ivette Portillo, APN-CNP

• General Practice Dentistry in Skokie, IL
• Providers in Skokie, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.