Katherine Staniek

Primary specialty

DentistTaxonomy code 122300000X

License

019.030676 Issued in IL

Practice address

1950 Gyorr Ave
South Elgin, IL 60177

Phone

(847) 695-5100

NPI assigned

Jun 21, 2016

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.

• Michael J. Whitted DDS PC

  • General Practice Dentistry
  • South Elgin, IL
  • NPI 1891118428
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1831549708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772289",
            "telephone_number": "847-695-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GYORR AVE",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "60177",
            "telephone_number": "847-695-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S Bartlett Rd",
            "address_purpose": "LOCATION",
            "city": "Streamwood",
            "state": "IL",
            "postal_code": "601071310",
            "country_code": "US",
            "telephone_number": "630-289-5727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Dean St Unit E",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601754830",
            "country_code": "US",
            "telephone_number": "620-377-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANIEK",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Elgin and Countryside Fire Protection District
• South Elgin Chiropractic Associates
• South Elgin Living & Rehab Center LLC
• Spring View Dental, Incorporated
• Desmond Stallworth, MD
• Elzbieta Stanisz
• Diamond Lonyah Steele, LPN
• Jeanne Sterricker-Rydell, APN, NP-C
• Deborah Ann Stevens, OTR/L
• Heather Brooke Stewart, COTA

• Dentist in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.