Organization Active NPI

Sonrisa Family Dental PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1982274189
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONRISA FAMILY DENTAL PC
Practice address
1044 N Mozart St
Chicago, IL 60622-2789
Phone
(773) 772-9200
Fax
(312) 893-2275
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Jason Korkus, DDS
Title
Owner/President
Phone
(312) 925-0042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1044 N Mozart St
Chicago, IL 60622-2789

Mailing address

3520 S Morgan St Ste 207-208
Chicago, IL 60609-1533
Phone (312) 722-6460

Other practice location 1

3229 W 47th Pl
Chicago, IL 60632-3011
Phone (773) 778-2200

Other practice location 2

3450 S Archer Ave
Chicago, IL 60608-6837
Phone (773) 376-1200

Other practice location 3

1415 Emerald Ave
Chicago Heights, IL 60411-3517
Phone (708) 756-7384

Other practice location 4

13000 Maple Ave
Blue Island, IL 60406-2318
Phone (708) 239-1900

Other practice location 5

2822 E 83rd St
Chicago, IL 60617-2105
Phone (773) 437-3090

Other practice location 6

3303 W 26th St
Chicago, IL 60623-4036
Phone (773) 522-1926

National Provider Directory

National Provider Directory

Locations

3450 S Archer Ave
Chicago, IL 60608
Phone (773) 376-1200

1415 Emerald Ave
Chicago Heights, IL 60411
Phone (708) 756-7384

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1982274189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 S MORGAN ST STE 207-208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091533",
            "telephone_number": "312-722-6460",
            "fax_number": "312-893-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N MOZART ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222789",
            "telephone_number": "773-772-9200",
            "fax_number": "312-893-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 W 47th Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606323011",
            "country_code": "US",
            "telephone_number": "773-778-2200",
            "fax_number": "773-778-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606086837",
            "country_code": "US",
            "telephone_number": "773-376-1200",
            "fax_number": "773-376-1213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Emerald Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113517",
            "country_code": "US",
            "telephone_number": "708-756-7384",
            "fax_number": "708-756-9618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13000 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Island",
            "state": "IL",
            "postal_code": "604062318",
            "country_code": "US",
            "telephone_number": "708-239-1900",
            "fax_number": "708-239-1902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2822 E 83rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606172105",
            "country_code": "US",
            "telephone_number": "773-437-3090",
            "fax_number": "312-893-2275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 W 26th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606234036",
            "country_code": "US",
            "telephone_number": "773-522-1926",
            "fax_number": "773-522-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SONRISA FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KORKUS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "312-925-0042",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Jun 29, 2021; 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.