Organization Active NPI

Sonrisa Capitation Esperanza Professional Corporation

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1861064917
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONRISA CAPITATION ESPERANZA PROFESSIONAL CORPORATION
Practice address
3059 W 26TH St
Chicago, IL 60623-4131
Phone
(773) 249-7600
Fax
(778) 384-7337
NPI assigned
Jul 16, 2021
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3059 W 26TH St
Chicago, IL 60623-4131

Mailing address

3520 S Morgan St Ste 207-208
Chicago, IL 60609-1533
Phone (312) 722-6460

Other practice location 1

2001 S California Ave
Chicago, IL 60608-2486
Phone (773) 484-1201

National Provider Directory

National Provider Directory

Locations

3520 S Morgan St
Ste 207208
Chicago, IL 60609

NPI Registry JSON

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": "1861064917",
    "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": "3059 W 26TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234131",
            "telephone_number": "773-249-7600",
            "fax_number": "778-384-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082486",
            "country_code": "US",
            "telephone_number": "773-484-1201",
            "fax_number": "773-484-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SONRISA CAPITATION ESPERANZA PROFESSIONAL CORPORATION",
        "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": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.