Individual provider Active NPI

Hanna Gruzynska, DDS

  • Dentist
  • Downers Grove, IL
National Provider Identifier
1922447309
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030199 Issued in IL
Practice address
5155 Mochel Dr
Downers Grove, IL 60515-5065
Phone
(630) 968-1544
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414002 VA
Dentist 122300000X 019030199 IL Primary

Addresses

Primary practice location

5155 Mochel Dr
Downers Grove, IL 60515-5065

Mailing address

5155 Mochel Dr
Downers Grove, IL 60515-5065
Phone (630) 968-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000663 IL Order and Referring Only - DentistPractitioner - Dentist 3173829520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019030199ILMDDentist
0401414002VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Dental Associates PC Dentist Past Accepting new patients
Midwest Anesthesia Partners, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1922447309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 MOCHEL DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155065",
            "telephone_number": "630-968-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 MOCHEL DR",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155065",
            "telephone_number": "630-968-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUZYNSKA",
        "first_name": "HANNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414002",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.