J. Michael Krisko DDS, LTD.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

J. MICHAEL KRISKO DDS, LTD.

Practice address

401 N Wall St
Ste 206
Kankakee, IL 60901-2934

Phone

(815) 468-1930

Fax

(815) 939-0920

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J. Michael Krisko, D.D.S.NPI 1710034574

Title

President

Phone

(815) 468-1930

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• J Michael Krisko, DDS

  • General Practice Dentistry
  • Kankakee, IL
  • NPI 1710034574
  Authorized official Same address or phone

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841298817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BARRY TURN",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501657",
            "telephone_number": "815-468-1930",
            "fax_number": "815-939-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "STE 206",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-468-1930",
            "fax_number": "815-939-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL KRISKO DDS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISKO",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-468-1930",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Safwat G. Iskander, M.D.
• Heather Renee Iwanus, OCCUPATIONAL THERAPI
• J & C Webber, Inc. (audibel center for hearing excellence)
• J's Medical Services
• Alyce F Jackson, MD
• Jaffe Drug Stores Inc
• Uzma Saher Jafry
• Arun K Jagannathan, M.D.

• Dentist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.