SONRISA DENTAL PC ON ARCHER (NPI# 1891100111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891100111 |
| Entity Type | Organization |
| Organization Name | SONRISA DENTAL PC ON ARCHER |
| Practice Address |
3450 S Archer Ave 2nd Floor Chicago IL 60608-6837 |
| Practice Telephone | 7733761200 |
| Mailing Telephone | 7733761200 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MARY LUKASZCZYK (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6307303233 |
| Is Organization Subpart | Y |
| Parent Organization Name | SONRISA DENTAL PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3450 S ARCHER AVE 2ND FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-6837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699715979 | Mohanlal Wickramasinghe | Pediatrics | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2006-06-07 |
| 1568946796 | Access Community Health Network | Case Management | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2018-09-24 |
| 1043696537 | Ajeet Sinha | Dentist | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2015-08-06 |
| 1851789275 | Hannah Holmes | Registered Nurse | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2015-01-07 |
| 1316244817 | Carlos Sandoval-herrera | Obstetrics & Gynecology | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2011-02-17 |
| 1235374315 | Maria A Tejada | Nurse Practitioner | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2008-12-03 |
| 1588823272 | Saba Sheikh Kamal | Dentist | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2008-06-06 |
| 1407021629 | Jamila Chiandrika Williams | Family Medicine | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2008-04-29 |
| 1467631978 | Maribel Corral | Physician Assistant | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2007-10-31 |
| 1912186784 | Erleine Bautista | Obstetrics & Gynecology | 3450 S Archer Ave, Chicago, IL 60608-6837 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629514 | Chicago Pediatric Dentistry and Orthodontics | Clinic/Center | 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734 | 2020-11-03 |
| 1245858695 | Versiani Dental PC | Clinic/Center | 2340 N California Ave, Chicago, IL 60647-6622 | 2020-07-13 |
| 1710513478 | Ethicadent | Clinic/Center | 6418 W Belmont Ave Ste 101, Chicago, IL 60634-4099 | 2020-03-13 |
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1750912671 | Wicker Park Dental Studio | Clinic/Center | 1282 N Milwaukee Ave, Chicago, IL 60622-9319 | 2020-01-29 |
| 1811535404 | Secure Dental Vi | Clinic/Center | 3540 N Ashland Ave, Chicago, IL 60657-1314 | 2019-12-15 |
| 1154972768 | David K Mayes D.d.s L.t.d. | Clinic/Center | 9101 S Western Ave # 2ndfl, Chicago, IL 60643-6751 | 2019-09-25 |
| 1235787730 | Alta Dental LLC | Clinic/Center | 5892 S Archer Ave, Chicago, IL 60638-1658 | 2019-08-28 |
| 1982257218 | Allure Dental Lincoln Park | Clinic/Center | 558 W Diversey Pkwy, Chicago, IL 60614-1678 | 2019-07-16 |
| 1568026656 | Cjn Loop Dental Ltd | Clinic/Center | 30 N Michigan Ave Ste 622, Chicago, IL 60602-3821 | 2019-04-24 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.