Kaczynski DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029515 Issued in IL

Legal business name

KACZYNSKI DDS, P.C.

Practice address

6075 N Northwest Hwy
Chicago, IL 60631-2502

Phone

(773) 792-8008

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Thomas KaczynskiNPI 1790117299

Title

President

Phone

(224) 210-0634

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thomas Kaczynski

  • Dentist
  • Johnsburg, IL
  • NPI 1790117299
  NPD (past) Authorized official
• Katarzyna Dorota Kusz, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1598898041
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1699101477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PAULINE AVE",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891852",
            "telephone_number": "224-210-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 N NORTHWEST HWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312502",
            "telephone_number": "773-792-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KACZYNSKI DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "KACZYNSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-210-0634"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esha Kacker, PMHNP
• Joan Kacmar, DO
• Emily Kacprzak
• Caroline Kaczowka, OD
• Daniel Kaczrowski, PA-C
• Anish R Kadakia, MD
• Ankit Kadakia
• Hirali Kadakia, DO
• Lena Kadakia
• Suhagi Kadakia, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, 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 Sep 24, 2013; 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.