Organization Active NPI

Taisa I. Seneczko, D.D.S.

  • General Practice Dentistry
  • Arlington Heights, IL
National Provider Identifier
1972823433
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019020252 Issued in IL
Legal business name
TAISA I. SENECZKO, D.D.S.
Practice address
314 S Arlington Heights Rd
Arlington Heights, IL 60005-1931
Phone
(847) 255-5552
Fax
(847) 255-5556
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Kathleen Mary Peterman
Title
Office Manager
Phone
(847) 255-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019020252 IL Primary

Addresses

Primary practice location

314 S Arlington Heights Rd
Arlington Heights, IL 60005-1931

Mailing address

314 S Arlington Heights Rd
Arlington Heights, IL 60005-1931
Phone (847) 255-5552

National Provider Directory

National Provider Directory

Locations

314 S Arlington Heights Rd
Arlington Heights, IL 60005
Phone (847) 255-5552

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1972823433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051931",
            "telephone_number": "847-255-5552",
            "fax_number": "847-255-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051931",
            "telephone_number": "847-255-5552",
            "fax_number": "847-255-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAISA I. SENECZKO, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-255-5552"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019020252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.