Individual provider Active NPI

Lauryn Nicole Ligocki, DDS

  • General Practice Dentistry
  • Oakbrook Terrace, IL
National Provider Identifier
1689298424
Registry record updated Jun 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032662 Issued in IL
Practice address
1S224 Summit Ave Ste 104
Oakbrook Terrace, IL 60181-3938
Phone
(630) 620-8099
NPI assigned
Jun 7, 2020
Last updated
Jun 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032662 IL Primary

Addresses

Primary practice location

1S224 Summit Ave Ste 104
Oakbrook Terrace, IL 60181-3938

Mailing address

1S224 Summit Ave Ste 104
Oakbrook Terrace, IL 60181-3938
Phone (630) 620-8099

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drlauryn@ligockidentalgroup.com

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

LicenseStateTypeSpecialty
019032662ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a. Ligocki, DDS, PC. Current Accepting new patients

Locations

1S224 Summit Ave
Ste 104
Oakbrook Terrace, IL 60181
Phone (630) 620-5333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1689298424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 104",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813938",
            "telephone_number": "630-620-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S224 SUMMIT AVE STE 104",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813938",
            "telephone_number": "630-620-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGOCKI",
        "first_name": "LAURYN",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drlauryn@ligockidentalgroup.com",
            "affiliation": "N",
            "address_1": "1S224 Summit Ave Ste 104",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601813938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.