Active NPI
Belsam Renee Kashlan, DDS
- Dentist
- Darien, IL
National Provider Identifier
1164616850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 2861 83Rd St
Unit C4
Darien, IL 60561-5612 - Phone
- (630) 740-7138
- NPI assigned
- Sep 5, 2007
- Last updated
- Sep 5, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | IL | Primary |
Addresses
Primary practice location
2861 83Rd St
Unit C4
Darien, IL 60561-5612
Mailing address
1116 Dickens Ave
Naperville, IL 60563-4301
Phone (630) 416-7890
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 |
|---|---|---|---|
| 019-026068 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kashlan Dental PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1164616850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 DICKENS AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634301",
"telephone_number": "630-416-7890",
"fax_number": "630-443-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 83RD ST",
"address_2": "UNIT C4",
"city": "DARIEN",
"state": "IL",
"postal_code": "605615612",
"telephone_number": "630-740-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHLAN",
"first_name": "BELSAM",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.