Agnieszka Knobloch, DMD

Primary specialty

DentistTaxonomy code 122300000X

Practice address

3233 Arlington HTS Rd
Suite 101
Arlington HTS, IL 60004

Phone

(847) 222-0003

Fax

(847) 222-0006

NPI assigned

Apr 16, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ajk Dental Care PC

  • Dentist
  • Arlington HTS, IL
  • NPI 1013077288
  NPD (past) Authorized official
• A Kletsel Dental Ass

  • Dentist
  • Arlington HTS, IL
  • NPI 1346313285
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1790959260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 ARLINGTON HTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-222-0003",
            "fax_number": "847-222-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 ARLINGTON HTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-222-0003",
            "fax_number": "847-222-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCH",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C Kemp, DDS
• Kevin K. Sohn, M.D., S.C.
• Kathleen Ann Klein, MSW
• Alexander Kletsel, DDS
• Agata Kluz
• Steven A Kooperman, M.D.
• Dean Phillip Kopecky, LCSW
• Bernadeta A. Kordas, M.D
• Koziol Psychological Services
• Michele L Lawhun, MD

• Dentist in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.