NPIMap

Organization Active NPI

K2 Dental Care, PLLC

  • General Practice Dentistry
  • Frankfort, IL
National Provider Identifier
1043097017
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K2 DENTAL CARE, PLLC
Practice address
590 Bankview Dr Ste a
Frankfort, IL 60423-1858
Phone
(708) 301-9401
Fax
(708) 301-8515
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Dr. Edward J Kirsch, DDSNPI 1316100795
Title
Partner
Phone
(708) 301-9401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

590 Bankview Dr Ste a
Frankfort, IL 60423-1858

Mailing address

590 Bankview Dr Ste a
Frankfort, IL 60423-1858
Phone (708) 301-9401

National Provider Directory

National Provider Directory

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": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1043097017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BANKVIEW DR STE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231858",
            "telephone_number": "708-301-9401",
            "fax_number": "708-301-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BANKVIEW DR STE A",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231858",
            "telephone_number": "708-301-9401",
            "fax_number": "708-301-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2 DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "708-301-9401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.