NPIMap

Organization Active NPI

Sonrisa Dental PC on Archer

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1891100111
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SONRISA DENTAL PC ON ARCHER
Practice address
3450 S Archer Ave
2ND Floor
Chicago, IL 60608-6837
Phone
(773) 376-1200
NPI assigned
Jun 25, 2014
Organization subpart
Yes
Parent organization
SONRISA DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mary Lukaszczyk
Title
Chief Operating Officer
Phone
(630) 730-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3450 S Archer Ave
2ND Floor
Chicago, IL 60608-6837

Mailing address

3450 S Archer Ave
2ND Floor
Chicago, IL 60608-6837
Phone (773) 376-1200

National Provider Directory

National Provider Directory
Tax ID family
Sonrisa Dental on Ashland6 organizations share this tax ID, including this one
Part of
Sonrisa Dental on Ashland

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3450 S Archer Ave
#2
Chicago, IL 60608
Phone (773) 376-1200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1891100111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 S ARCHER AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086837",
            "telephone_number": "773-376-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 S ARCHER AVE",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086837",
            "telephone_number": "773-376-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA DENTAL PC ON ARCHER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONRISA DENTAL PC",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LUKASZCZYK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "630-730-3233"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Jun 25, 2014; 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.