Active NPI
Karl Alan Wash, DDS
- General Practice Dentistry
- Bensenville, IL
National Provider Identifier
1083877971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019015010
- Practice address
- 545 S York Rd
Bensenville, IL 60106-3000 - Phone
- (630) 766-0115
- Fax
- (630) 766-1164
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019015010 | IL | |
| General Practice Dentistry | 1223G0001X | 019015010 | IL | Primary |
Addresses
Primary practice location
545 S York Rd
Bensenville, IL 60106-3000
Mailing address
545 S York Rd
Bensenville, IL 60106-3000
Phone (630) 766-0115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019015010 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1083877971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 S YORK RD",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063000",
"telephone_number": "630-766-0115",
"fax_number": "630-766-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 S YORK RD",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601063000",
"telephone_number": "630-766-0115",
"fax_number": "630-766-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASH",
"first_name": "KARL",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019015010",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019015010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.