NPIMap

Organization Active NPI

Horizon Center for Progressive Dentistry P. C.

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1679866321
Registry record updated Nov 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019017944 Issued in IL
Legal business name
HORIZON CENTER FOR PROGRESSIVE DENTISTRY P. C.
Practice address
6314 N Lincoln Ave
Chicago, IL 60659-1204
Phone
(773) 509-0029
Fax
(773) 509-0733
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2014

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

Authorized official

Name
Dr. Paul Saniuk, D.D.S.NPI 1073655213
Title
President
Phone
(773) 509-0029

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 019017944 IL Primary

Addresses

Primary practice location

6314 N Lincoln Ave
Chicago, IL 60659-1204

Mailing address

6314 N Lincoln Ave
Chicago, IL 60659-1204
Phone (773) 509-0029

Other identifiers 2

IdentifierTypeStateIssuer
019017944OtherILLICENSED DENTIST
1073655213OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414886400000",
    "number": "1679866321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-509-0029",
            "fax_number": "773-509-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-509-0029",
            "fax_number": "773-509-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON CENTER FOR PROGRESSIVE DENTISTRY P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2014-11-02",
        "status": "A",
        "authorized_official_last_name": "SANIUK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-509-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DENTIST",
            "identifier": "019017944",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073655213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2014; 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.