Erica Zolnierczyk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.028798 Issued in IL

Practice address

14512 John Humphrey Dr
Orland Park, IL 60462-2902

Phone

(708) 460-6699

Fax

(708) 460-1481

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elz Dental, LLC

  • Dental Hygienist
  • Orland Park, IL
  • NPI 1356018246
  NPD Authorized official
• Joseph Solek DDS, PC

  • Dentist
  • Orland Park, IL
  • NPI 1841296472
  NPD (past)
• Richard M Marshall DDS PC

  • Dental Clinic/Center
  • Oak Lawn, IL
  • NPI 1255219283
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1932485356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14512 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622902",
            "telephone_number": "708-460-6699",
            "fax_number": "708-460-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14512 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622902",
            "telephone_number": "708-460-6699",
            "fax_number": "708-460-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLNIERCZYK",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028798",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011750A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.028798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eman Zekry, MPT
• Teresa A Zepka, PA-C
• Juliana Zhang
• Jessica A Ziccarelli, BCBA
• Robert J. Zoboski, D.C.
• Marykate Zoubek
• Anastasia Zubek, LSCW
• Nadia Zubi-Kutz, PHARM D
• Randall James Zwart, D.N.
• Shirleen Beth Zwijack, LSW,LCPC

• General Practice Dentistry in Orland Park, IL
• Providers in Orland Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.