Individual provider Active NPI

Peter Cholewa, DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1922333178
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-021567 Issued in IL
Practice address
2956 N Milwaukee Ave. Suite 201
Chicago, IL 60618-7372
Phone
(773) 489-0544
NPI assigned
Oct 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-021567 IL Primary

Addresses

Primary practice location

2956 N Milwaukee Ave. Suite 201
Chicago, IL 60618-7372

Mailing address

2956 N Milwaukee Ave. Suite 201
Chicago, IL 60618-7372
Phone (773) 489-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019-021567ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1922333178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 N MILWAUKEE AVE. SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187372",
            "telephone_number": "773-489-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2956 N MILWAUKEE AVE. SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187372",
            "telephone_number": "773-489-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLEWA",
        "first_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-021567",
            "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 Oct 6, 2009; 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.