Sonrisa Capitation CCHC Professional Corporation Sonrisa Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SONRISA CAPITATION CCHC PROFESSIONAL CORPORATION SONRISA FAMILY DENTAL

Practice address

9718 S Halsted St
Chicago, IL 60628-1007

Phone

(872) 703-3032

Fax

(312) 893-2275

NPI assigned

Jul 16, 2021

Organization subpart

No

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

Authorized official

Name

Jason Korkus, DDS

Title

Owner/President

Phone

(312) 722-6460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1760054811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S MORGAN ST STE 207-208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091533",
            "telephone_number": "312-722-6460",
            "fax_number": "312-893-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9718 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281007",
            "telephone_number": "872-703-3032",
            "fax_number": "312-893-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA CAPITATION CCHC PROFESSIONAL CORPORATION SONRISA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "KORKUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-722-6460",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonnenberg & Associates LLC
• John David Sonnenberg, MD
• John Gavend Sonnenberg, PHD
• Katherine Kaylor Sonnenburg, NP
• John Hayden Sonnier, MD
• Sonrisa Capitation Esperanza Professional Corporation
• Sonrisa Capitation LLC
• Sonrisa CCHC Capitation LLC
• Sonrisa Dental Little Village 26TH
• Sonrisa Dental on Ashland

• 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 Jul 16, 2021; 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.