JD Manikowski, D.D.S., LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

019.024233 Issued in IL

Legal business name

JD MANIKOWSKI, D.D.S., LLC

Practice address

30 N. Michigan Ave #1520
Chicago, IL 60602

Phone

(312) 236-9325

Fax

(312) 236-2901

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jack John Manikowski

Title

Owner

Phone

(312) 236-9325

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Park Smiles in the Loop Doing business as

Locations

Practitioners 1

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

• Trucia A. Drummond, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1801936596
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1740729474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N. SHEFFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "312-337-1665",
            "fax_number": "312-337-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N. MICHIGAN AVE #1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-236-9325",
            "fax_number": "312-236-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD MANIKOWSKI, D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "MANIKOWSKI",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-236-9325",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "019.024233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Smiles in the Loop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jcare LTD
• JCH Counseling, LLC
• JCT Community Care Network NFP
• JD Dental Studio Inc
• JD Feldman DDS, LW Feldman DDS & Associates PC
• JDM DDS PC
• Mohammad Jeafar, RPH
• Amyola Jean Baptiste
• Anne Laurie Jean Jacques
• Jean Lee MD SC

• Health Maintenance Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Maintenance Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.