Individual provider Active NPI

Nicholas Kugia, D.D.S.

  • General Practice Dentistry
  • Elgin, IL
National Provider Identifier
1215904545
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-022267 Issued in IL
Practice address
1425 N McLean Blvd
Suite 800
Elgin, IL 60123-5723
Phone
(847) 468-0700
Fax
(847) 741-7768
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-022267 IL Primary

Addresses

Primary practice location

1425 N McLean Blvd
Suite 800
Elgin, IL 60123-5723

Mailing address

1425 N McLean Blvd
Suite 800
Elgin, IL 60123-5723
Phone (847) 468-0700

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

LicenseStateTypeSpecialty
019-022267ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1215904545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "SUITE 800",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235723",
            "telephone_number": "847-468-0700",
            "fax_number": "847-741-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "SUITE 800",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235723",
            "telephone_number": "847-468-0700",
            "fax_number": "847-741-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUGIA",
        "first_name": "NICHOLAS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-022267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.