Kerstin Elizabeth Horbal, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019027910 Issued in IL

Practice address

6033 N Sheridan Rd
Captain'S Walk
Chicago, IL 60660-3003

Phone

(773) 275-0110

NPI assigned

May 19, 2009

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1023243151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "CAPTAIN'S WALK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 N SHERIDAN RD",
            "address_2": "CAPTAIN'S WALK",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603003",
            "telephone_number": "773-275-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORBAL",
        "first_name": "KERSTIN",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Khun Hor, M.D.
• Nathan Hora Allen Hora, MA, LCPC
• Kenneth Horace, LCSW
• Elizabeth Blair Ballantyne Horan, CPNP
• Jack Peter Horbal, D.D.S.
• Mary Horban, DO
• Faith Julianne Horbatch, MD
• David Horberg, D.D.S.
• Christina Horde, SLP CCC LIC
• Erin Horetski

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.