Katarzyna Dziediech Lopez, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-022206 Issued in IL

Practice address

1640 N Wells St Unit 205
Chicago, IL 60614-6006

Phone

(312) 787-2000

Fax

(312) 829-2581

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Katarzyna J Dziedziech Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1730384082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 W CORTLAND ST",
            "address_2": "SUITE #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-904-8400",
            "fax_number": "773-904-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 N WELLS ST UNIT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146006",
            "telephone_number": "312-787-2000",
            "fax_number": "312-829-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEDIECH LOPEZ",
        "first_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-022206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARZYNA",
            "last_name": "DZIEDZIECH",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven O Dyson, LCPC
• Ema Dzaka-Dizdarevic, M.D.
• Selma Dzelil, PHARMD
• Brittney B Dzidza, PHARM D
• Thompson Dzidza, PA
• Catherine Ann Dziedzic
• Agatha Natasha Dziedziech, DDS
• Daniel Michael Dziekan, D.C.
• Laura M. I. Dziekiewicz, LCSW
• Jennifer Leigh Dziemianko, M.D.

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.