Justina Mockunas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019032420 Issued in IL

Practice address

13530 Illinois Route 59
Suite 120
Plainfield, IL 60544

Phone

(815) 436-1530

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Lifetime Family Dental, P.C.

  • Dental Clinic/Center
  • New Lenox, IL
  • NPI 1851006753
  NPD Authorized official
• Mockunas Dental PC

  dba Pinnacle Dental Group

  • Dentist
  • Plainfield, IL
  • NPI 1023629664
  NPD Authorized official

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1942739024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13530 ILLINOIS ROUTE 59",
            "address_2": "SUITE 120",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-436-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 ILLINOIS ROUTE 59",
            "address_2": "SUITE 120",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-436-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKUNAS",
        "first_name": "JUSTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Mirocha, LCSW
• Marc Edward Mitchell, LPC
• Ken Miyake
• Krystin Kulvinskas Moberg, MSMFT. LPC, LCPC
• Mockunas Dental PC (Pinnacle Dental Group)
• Modern Behavior Consulting LLC (Modern Behavior Consulting)
• Theresa Moen
• Fayeza Mohammed
• Mohin T Samaraweera MD SC Plainfield Medical Center
• Gabriela Molina, LMSW

• General Practice Dentistry in Plainfield, IL
• Providers in Plainfield, 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 Dec 31, 2024; 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.