Active NPI
Jessie Kunnel, D.D.S
- General Practice Dentistry
- Skokie, IL
National Provider Identifier
1154555142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019024836
- Practice address
- 9933 Lawler Ave Ste 401
Skokie, IL 60077-3726 - Phone
- (847) 675-5590
- NPI assigned
- May 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 019024293 | IL | |
| General Practice Dentistry | 1223G0001X | 019024836 | IL | Primary |
Addresses
Primary practice location
9933 Lawler Ave Ste 401
Skokie, IL 60077-3726
Mailing address
9933 Lawler Ave Ste 401
Skokie, IL 60077-3726
Phone (847) 675-5590
Other practice location 1
2537 W North Ave
Melrose Park, IL 60160-1121
Phone (708) 345-6400
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 |
|---|---|---|---|
| 019024836 | IL | MD | General Practice Dentistry |
| 019024293 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Experts, LLC | General Practice | Past | Accepting new patients |
| Kunnel Dental Center P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health Dentistry
- Skokie, IL
- NPI 1861837973
Orthodontics and Dentofacial Orthopedics
-
- General Practice Dentistry
- Melrose Park, IL
- NPI 1780855775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1154555142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9933 LAWLER AVE STE 401",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773726",
"telephone_number": "847-675-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9933 LAWLER AVE STE 401",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600773726",
"telephone_number": "847-675-5590"
}
],
"practiceLocations": [
{
"address_1": "2537 W North Ave",
"address_purpose": "LOCATION",
"city": "Melrose Park",
"state": "IL",
"postal_code": "601601121",
"country_code": "US",
"telephone_number": "708-345-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNNEL",
"first_name": "JESSIE",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "019024293",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019024836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.