Individual provider Active NPI

Malgorzata Pienkowska, DDS

  • General Practice Dentistry
  • Niles, IL
National Provider Identifier
1770946378
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025183 Issued in IL
Practice address
8107 N. Milwaukee
Niles, IL 60714-2803
Phone
(847) 470-8822
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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 019025183 IL Primary

Addresses

Primary practice location

8107 N. Milwaukee
Niles, IL 60714-2803

Mailing address

8107 N Milwaukee Ave
Niles, IL 60714-2803
Phone (847) 470-8822

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
019025183ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Malgorzata Pienkowski DDS LTD Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1770946378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142803",
            "telephone_number": "847-470-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 N. MILWAUKEE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607142803",
            "telephone_number": "847-470-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIENKOWSKA",
        "first_name": "MALGORZATA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.